| Doctor Name: | GLENN ARNOLD |
| NPI Number: | 1073878641 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2198 Harris Ave Ne Palm Bay, FL - 329054002 |
| Business Phone Number: | 3219519750 |
| Business Fax Number: | |
| Mailing Address: | 2198 Harris Ave Ne, PALM BAY |
| State: | FL |
| Postal Code: | 329054002 |
| Phone Number: | 3219519750 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2012 |
| NPI Last Update Date: | 01/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |