Provider Demographics
NPI:1871102251
Name:ARNOLD, ALICE PROSKAUER (PHD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:PROSKAUER
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 1:1130 EAST CLARK AVENUE
Mailing Address - Street 2:SUITE 150 BOX 379
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-3562
Mailing Address - Country:US
Mailing Address - Phone:805-910-8861
Mailing Address - Fax:
Practice Address - Street 1:22 W MICHELTORENA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-6522
Practice Address - Country:US
Practice Address - Phone:805-910-8861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-30
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPS263102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst