MEDICARE: JOHN 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
1	103T00000X	Psychologist	PY00001936	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558329987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN ARNOLD PHD

Provider Business Mailing Address
First Line	:	1521 N ARGONNE RD
Second Line	:	C160
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99212-2545
Country	:	US
Telephone Number	:	509-389-2151
Fax Number	:	509-742-3461

Provider Business Practice Location Address
First Line	:	1521 N ARGONNE RD
Second Line	:	C160
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99212-2545
Country	:	US
Telephone Number	:	509-389-2151
Fax Number	:	509-742-3461

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	07/25/2014

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Directions to “ JOHN ARNOLD PHD” Practice Location

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