Healthcare Provider Details

I. General information

NPI: 1679029169
Provider Name (Legal Business Name): MICHAEL ARNATT PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2016
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 LAKE OTIS PKWY STE 201
ANCHORAGE AK
99508-5200
US

IV. Provider business mailing address

12800 VON SCHEBEN DR
ANCHORAGE AK
99516-3206
US

V. Phone/Fax

Practice location:
  • Phone: 907-250-7380
  • Fax:
Mailing address:
  • Phone: 907-250-7380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number144539
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: