Angela Renee' Arnold, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Tupelo, MS

NPI 1962708362 · NPPES record last updated Feb 2, 2011

Key facts

NPI
1962708362
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
50822 (MS)
Practice address
90 Clark Blvd
Tupelo, MS 38803-3592
Phone
(800) 231-6983
Fax
(662) 842-7915
NPI assigned
Feb 2, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
50822MSMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 50822 MS Yes

Addresses

Primary practice location

90 Clark Blvd
Tupelo, MS 38803-3592

Mailing address

PO Box 3592
Tupelo, MS 38803-3592
Phone (800) 231-6983

Other providers in Tupelo, MS

All providers in Tupelo, MS · Speech-Language Pathologist in Mississippi

Sources for this page

Verify at the official NPI Registry.