Provider Demographics
NPI:1942429543
Name:ARNDT, NANCY YVONNE (PHD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:YVONNE
Last Name:ARNDT
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 1:26 IMPERIAL AVE
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-4301
Mailing Address - Country:US
Mailing Address - Phone:203-222-8263
Mailing Address - Fax:203-255-3946
Practice Address - Street 1:26 IMPERIAL AVE
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4301
Practice Address - Country:US
Practice Address - Phone:203-222-8263
Practice Address - Fax:203-255-3946
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1104103TC0700X
CT000123106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist