Provider Demographics
NPI:1023177797
Name:MCARTHUR, DENNIS J (MS)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:J
Last Name:MCARTHUR
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2539 DEPOT RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-9577
Mailing Address - Country:US
Mailing Address - Phone:330-332-5203
Mailing Address - Fax:330-337-0272
Practice Address - Street 1:2539 DEPOT RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-9577
Practice Address - Country:US
Practice Address - Phone:330-332-5203
Practice Address - Fax:330-337-0272
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2235103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01870667Medicaid
OH0312736Medicaid
MCO431285Medicare ID - Type Unspecified
PA01870667Medicaid