Provider Demographics
NPI:1720590508
Name:ARNOLD, KATRINA ANN
Entity Type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:ANN
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9900 S MAY AVE APT 514
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-9010
Mailing Address - Country:US
Mailing Address - Phone:405-973-7883
Mailing Address - Fax:
Practice Address - Street 1:9900 S MAY AVE APT 514
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-9010
Practice Address - Country:US
Practice Address - Phone:405-973-7883
Practice Address - Fax:405-973-7883
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist