Provider Demographics
NPI:1740629328
Name:ARNOLD, ROBERT (EDD, MA, BCPC, C)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:EDD, MA, BCPC, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10204 SEMINOLE ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33773-4124
Mailing Address - Country:US
Mailing Address - Phone:727-417-6517
Mailing Address - Fax:727-397-2168
Practice Address - Street 1:10204 SEMINOLE ISLAND DR
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-4124
Practice Address - Country:US
Practice Address - Phone:727-417-6517
Practice Address - Fax:727-397-2168
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH1504101Y00000X, 103TB0200X, 103TC2200X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy