Healthcare Provider Details

I. General information

NPI: 1619458007
Provider Name (Legal Business Name): JAMES ALLAN ARRUDA LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2018
Last Update Date: 08/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1899 MERIDIAN ST
FALL RIVER MA
02720-4699
US

IV. Provider business mailing address

1899 MERIDIAN ST
FALL RIVER MA
02720-4699
US

V. Phone/Fax

Practice location:
  • Phone: 508-675-9811
  • Fax:
Mailing address:
  • Phone: 508-675-9811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: