Provider Demographics
NPI:1982749198
Name:ARNETT, ECHO LYNN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ECHO
Middle Name:LYNN
Last Name:ARNETT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46601-2215
Mailing Address - Country:US
Mailing Address - Phone:574-299-4847
Mailing Address - Fax:
Practice Address - Street 1:473 CABRILLO ST BLDG 422
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93944-3201
Practice Address - Country:US
Practice Address - Phone:831-242-4328
Practice Address - Fax:831-242-6620
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20042143A103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200872000Medicaid
IN000000529233OtherBCBS