Healthcare Provider Details

I. General information

NPI: 1164851473
Provider Name (Legal Business Name): MARLA NANCI ARNOLD PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2013
Last Update Date: 11/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 CHATHAM LN STE 112
COLUMBUS OH
43221-2418
US

IV. Provider business mailing address

2551 OLDE HILL CT S
COLUMBUS OH
43221-3634
US

V. Phone/Fax

Practice location:
  • Phone: 614-754-7648
  • Fax:
Mailing address:
  • Phone: 614-485-2326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number602
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: