Provider Demographics
NPI:1700323045
Name:ARNOLD, COURTNEY MICHELLE (AUD)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:MICHELLE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 4TH ST
Mailing Address - Street 2:STE. 410
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79430-8312
Mailing Address - Country:US
Mailing Address - Phone:806-743-2373
Mailing Address - Fax:806-743-4354
Practice Address - Street 1:3502 9TH ST
Practice Address - Street 2:STE. 410
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-3300
Practice Address - Country:US
Practice Address - Phone:806-775-9305
Practice Address - Fax:806-775-9302
Is Sole Proprietor?:No
Enumeration Date:2017-01-25
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80700231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist