Provider Demographics
NPI:1558632760
Name:ARNOLD, ELAINE RACHEL (MS CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:RACHEL
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 TULIP AVE
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001
Mailing Address - Country:US
Mailing Address - Phone:516-488-9652
Mailing Address - Fax:516-394-2697
Practice Address - Street 1:500 TULIP AVENUE
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001
Practice Address - Country:US
Practice Address - Phone:516-488-9652
Practice Address - Fax:516-394-2697
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009397-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist