Healthcare Provider Details
I. General information
NPI: 1255248357
Provider Name (Legal Business Name): TANDEMPATH DIAGNOSTICS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
951 S MCPHERSON CHURCH RD
FAYETTEVILLE NC
28303-5184
US
IV. Provider business mailing address
951 S MCPHERSON CHURCH RD
FAYETTEVILLE NC
28303-5184
US
V. Phone/Fax
- Phone: 504-330-6185
- Fax:
- Phone: 504-330-6185
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KEVIN
D
ARNOLD
Title or Position: PRESIDENT
Credential: PHD
Phone: 504-330-6185