Provider Demographics
NPI:1447849518
Name:ARNHOLS, CHRISTIE ANN
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:ANN
Last Name:ARNHOLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:ANN
Other - Last Name:FRIES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:26 STONEHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:GLEN RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07028-1718
Mailing Address - Country:US
Mailing Address - Phone:908-963-8538
Mailing Address - Fax:
Practice Address - Street 1:307 BLOOMFIELD AVE STE 201
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-5165
Practice Address - Country:US
Practice Address - Phone:862-621-9390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00756200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist