Provider Demographics
NPI:1255076097
Name:ARNAU, RANDOLPH CURTIS III
Entity type:Individual
Prefix:DR
First Name:RANDOLPH
Middle Name:CURTIS
Last Name:ARNAU
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 HAMPTON PL
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-1237
Mailing Address - Country:US
Mailing Address - Phone:601-207-7799
Mailing Address - Fax:
Practice Address - Street 1:109 HAMPTON PL
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-1237
Practice Address - Country:US
Practice Address - Phone:601-207-7799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS45-733103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical