Provider Demographics
NPI:1205017688
Name:PRESLEY, ARNOLD S (PSYD)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:S
Last Name:PRESLEY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10140 STRATHMORE DR
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-1039
Mailing Address - Country:US
Mailing Address - Phone:619-277-8051
Mailing Address - Fax:
Practice Address - Street 1:9745 PROSPECT AVE STE 202
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-4294
Practice Address - Country:US
Practice Address - Phone:619-456-4822
Practice Address - Fax:619-456-4825
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP0000002664103TC0700X
CAPSY23795103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical