Individual
LUCAS ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
(126) 048-3908
Mailing address
PO BOX 392552, PITTSBURGH, PA 15251-9500
(512) 575-8028
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042977A
IN
Other
Enumeration date
08/09/2016
Last updated
09/07/2018
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