| Doctor Name: | DR. DAVID ADAM ARENA |
| NPI Number: | 1922308162 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D., M.S., M.ED. |
| License Number: | PC005641 |
| Business Practice Address: | 5 S Centre Ave Suite A5 Leesport, PA - 195338653 |
| Business Phone Number: | 2159398429 |
| Business Fax Number: | |
| Mailing Address: | 148 Robby Dr, LEESPORT |
| State: | PA |
| Postal Code: | 195339434 |
| Phone Number: | 2159398429 |
| Fax Number: | |
| NPI Enumeration Date: | 10/21/2010 |
| NPI Last Update Date: | 03/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC005641 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |