Doctor Name: | MR. RANDOLPH DAVID ARNOLD |
NPI Number: | 1164849915 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPAT |
License Number: | 0189 |
Business Practice Address: | 4010 Dupont Cir Ste 582 Louisville, KY - 402074888 |
Business Phone Number: | 5028995411 |
Business Fax Number: | 5028995411 |
Mailing Address: | 1819 Rutherford Ave, LOUISVILLE |
State: | KY |
Postal Code: | 402051819 |
Phone Number: | 5027217574 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2014 |
NPI Last Update Date: | 03/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0189 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |