Provider Demographics
NPI:1770297194
Name:KING, ARLENE R (PHD)
Entity type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:R
Last Name:KING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:440 4TH ST
Mailing Address - Street 2:
Mailing Address - City:DUNELLEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-1122
Mailing Address - Country:US
Mailing Address - Phone:646-334-7461
Mailing Address - Fax:
Practice Address - Street 1:LYONS VA MEDICAL CENTER
Practice Address - Street 2:151 KNOLLCROFT RD
Practice Address - City:LYONS
Practice Address - State:NJ
Practice Address - Zip Code:07939-5001
Practice Address - Country:US
Practice Address - Phone:908-647-0180
Practice Address - Fax:908-604-5253
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY023749103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical