MEDICARE: SCOTT ARENDT MFT

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	106H00000X	Marriage & Family Therapist	MFC 51695	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MFC 51695	OTHER	CA	MFT

General Provider Information

NPI Number	:	1821040023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT ARENDT MFT

Provider Business Mailing Address
First Line	:	1555 PARKMOOR AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2407
Country	:	US
Telephone Number	:	408-828-0402
Fax Number	:

Provider Business Practice Location Address
First Line	:	1555 PARKMOOR AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2407
Country	:	US
Telephone Number	:	408-828-0402
Fax Number	:

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	08/06/2012

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Directions to “ SCOTT ARENDT MFT” Practice Location

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