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NPI Code Detail

MEDICARE: JODI G. ARNOLD PHD

MEDICARE: JODI G. ARNOLD PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist30687TX

General Provider Information

NPI Number : 1023125028
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI G. ARNOLD PHD
Provider Business Mailing Address
First Line : 1040 KAMAOLE ST
Second Line :
City : HONOLULU
State : HI
Zip : 96825-2816
Country : US
Telephone Number : 210-260-3948
Fax Number : 210-338-8931
Provider Business Practice Location Address
First Line : 14603 HUEBNER RD BLDG 6
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-5475
Country : US
Telephone Number : 210-260-3948
Fax Number : 210-338-8931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 03/28/2025

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