Provider Demographics
NPI:1184401234
Name:ARNOLD, MARIELLE ELISE (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:MARIELLE
Middle Name:ELISE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:DR
Other - First Name:MARIELLE
Other - Middle Name:ELISE
Other - Last Name:SHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD, CCC-A
Mailing Address - Street 1:81 MEDICAL CENTER DR STE 1150
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2765
Mailing Address - Country:US
Mailing Address - Phone:207-373-7418
Mailing Address - Fax:
Practice Address - Street 1:81 MEDICAL CENTER DR STE 1150
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2765
Practice Address - Country:US
Practice Address - Phone:207-373-7418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAP4006231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist