MEDICARE: MICHELL LYN ARNOW PHD PA

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	PY6338	FL

General Provider Information

NPI Number	:	1952320947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHELL LYN ARNOW PHD PA

Provider Business Mailing Address
First Line	:	PO BOX 690881
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32869-0881
Country	:	US
Telephone Number	:	407-351-1055
Fax Number	:	407-351-1185

Provider Business Practice Location Address
First Line	:	5007 GATEWAY AVENUE
Second Line	:	SUITE B
City	:	ORLANDO
State	:	FL
Zip	:	32821
Country	:	US
Telephone Number	:	407-351-1055
Fax Number	:	407-351-1185

Authorized Official
Title or Position	:	PSYCHOLOGIST DIRECTOR
Name	:	DR. MICHELL LYN ARNOW
Credential	:	PHD
Telephone Number	:	407-351-1055

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	01/25/2008

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