Provider Demographics
NPI:1801034343
Name:ARNOLD, HYO CHANG W (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:HYO CHANG
Middle Name:W
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9121 ONE PUTT PL
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-3097
Mailing Address - Country:US
Mailing Address - Phone:772-236-3256
Mailing Address - Fax:
Practice Address - Street 1:9121 ONE PUTT PLACE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986
Practice Address - Country:US
Practice Address - Phone:772-236-3256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAUD149231H00000X
FLAY1531237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAY1531OtherLICENSE NUMBER
HIAUD149OtherLICENSE NUMBER