Provider Demographics
NPI:1255145983
Name:TILDEN, ARNOLD JOHN JR (EDD, LPC)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:JOHN
Last Name:TILDEN
Suffix:JR
Gender:M
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 SANDY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-1226
Mailing Address - Country:US
Mailing Address - Phone:814-861-5100
Mailing Address - Fax:814-861-5100
Practice Address - Street 1:187 SANDY RIDGE RD
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-1226
Practice Address - Country:US
Practice Address - Phone:814-861-5100
Practice Address - Fax:814-861-5100
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC018120101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional