Provider Demographics
NPI:1720140072
Name:ARNST, CHARLENE JOYCE (MS-CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHARLENE
Middle Name:JOYCE
Last Name:ARNST
Suffix:
Gender:F
Credentials:MS-CCC-SLP
Other - Prefix:
Other - First Name:CHARLENE
Other - Middle Name:JOYCE
Other - Last Name:MILLER-ARNST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS-CCC-SLP
Mailing Address - Street 1:8473 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2060
Mailing Address - Country:US
Mailing Address - Phone:559-436-1375
Mailing Address - Fax:559-436-0526
Practice Address - Street 1:7300 N FRESNO ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2941
Practice Address - Country:US
Practice Address - Phone:559-448-5687
Practice Address - Fax:559-448-3331
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP4609235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist