Provider Demographics
NPI:1023125028
Name:ARNOLD, JODI G (PHD)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:G
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:M
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1040 KAMAOLE ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-2816
Mailing Address - Country:US
Mailing Address - Phone:210-260-3948
Mailing Address - Fax:210-338-8931
Practice Address - Street 1:14603 HUEBNER RD BLDG 6
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5475
Practice Address - Country:US
Practice Address - Phone:210-260-3948
Practice Address - Fax:210-338-8931
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30687103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX041124103Medicaid
TX041124103Medicaid