Provider Demographics
NPI:1801126511
Name:ARNOLD, ROBERT J (SLPD, MS, CCC, BCSS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:SLPD, MS, CCC, BCSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1678 MONTGOMERY HWY
Mailing Address - Street 2:STE. 104, PMB 180
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4914
Mailing Address - Country:US
Mailing Address - Phone:205-516-5129
Mailing Address - Fax:800-221-0895
Practice Address - Street 1:1678 MONTGOMERY HWY
Practice Address - Street 2:STE. 104, PMB 180
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-4914
Practice Address - Country:US
Practice Address - Phone:205-516-5129
Practice Address - Fax:800-221-0895
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-31
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP008741235Z00000X
MSS1196235Z00000X
AL932235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist