Provider Demographics
NPI:1447434451
Name:ARNOLD, SUSANNE CRABTREE (PHD)
Entity type:Individual
Prefix:
First Name:SUSANNE
Middle Name:CRABTREE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 E SADDLE WAY
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85243-5337
Mailing Address - Country:US
Mailing Address - Phone:520-510-6716
Mailing Address - Fax:480-988-4852
Practice Address - Street 1:18914 E SAN TAN BLVD STE 132
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85242-6490
Practice Address - Country:US
Practice Address - Phone:480-988-7442
Practice Address - Fax:480-988-4852
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3316103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist