Healthcare Provider Details

I. General information

NPI: 1528615903
Provider Name (Legal Business Name): KAYELA KIM ARROTTA PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYELA KIM ROBERTSON

II. Dates (important events)

Enumeration Date: 08/21/2019
Last Update Date: 08/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

304 NW 74TH ST
SEATTLE WA
98117-4931
US

V. Phone/Fax

Practice location:
  • Phone: 800-223-2273
  • Fax:
Mailing address:
  • Phone: 509-389-0798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberNA
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: