Healthcare Provider Details

I. General information

NPI: 1831218882
Provider Name (Legal Business Name): JAMES EDWARD ARNDT PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 OBICI BLVD. SUITE F
SUFFOLK VA
23434
US

IV. Provider business mailing address

114 GRAND VIEW DR
HAMPTON VA
23664-1952
US

V. Phone/Fax

Practice location:
  • Phone: 757-925-2212
  • Fax:
Mailing address:
  • Phone: 757-850-3091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810002845
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: