MEDICARE: MS. KERRY L ARNSTEN MA, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP 10449	CA

General Provider Information

NPI Number	:	1629399183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KERRY L ARNSTEN MA, CCC-SLP

Provider Business Mailing Address
First Line	:	811 LEONARD AVE
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-4112
Country	:	US
Telephone Number	:	760-529-4975
Fax Number	:

Provider Business Practice Location Address
First Line	:	1930 S COAST HWY
Second Line	:	STE 103
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6455
Country	:	US
Telephone Number	:	760-529-4975
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2010
Last Update Date	:	06/18/2010

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