Provider Demographics
NPI:1891950374
Name:ARNOW, MICHELL LYN (PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHELL
Middle Name:LYN
Last Name:ARNOW
Suffix:
Gender:F
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:PO BOX 690881
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32869-0881
Mailing Address - Country:US
Mailing Address - Phone:407-351-1055
Mailing Address - Fax:407-351-1185
Practice Address - Street 1:5007 GATEWAY AVE STE B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32821-8218
Practice Address - Country:US
Practice Address - Phone:407-351-1055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6338103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE5339Medicare PIN