Provider Demographics
NPI:1740904663
Name:ARNOLD, HANNAH EILEEN (AUD)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:EILEEN
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 1:616 HILL AVE
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-2206
Mailing Address - Country:US
Mailing Address - Phone:607-761-8727
Mailing Address - Fax:
Practice Address - Street 1:231 MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-1523
Practice Address - Country:US
Practice Address - Phone:607-205-1041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003145231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist