Healthcare Provider Details

I. General information

NPI: 1750324190
Provider Name (Legal Business Name): LESLEY M ARNOLD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 04/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 STETSON ST ML 0559
CINCINNATI OH
45219-2498
US

IV. Provider business mailing address

260 STETSON ST SUITE 3200
CINCINNATI OH
45219-2498
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-7700
  • Fax: 513-558-0877
Mailing address:
  • Phone: 513-558-7700
  • Fax: 513-558-0877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35059558
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: