Provider Demographics
NPI:1558583278
Name:SPOKANE, ARNOLD R (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:R
Last Name:SPOKANE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 AZALEA PL SE
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-7201
Mailing Address - Country:US
Mailing Address - Phone:610-945-4221
Mailing Address - Fax:610-945-4221
Practice Address - Street 1:231 BARNWELL AVE NW
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-3903
Practice Address - Country:US
Practice Address - Phone:610-945-4221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1442103T00000X
PAPS007269L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty