Provider Demographics
NPI:1104005420
Name:CARR, STEVEN ARNOLD
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:ARNOLD
Last Name:CARR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2554 W GLENCREST AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-3135
Mailing Address - Country:US
Mailing Address - Phone:714-952-1445
Mailing Address - Fax:
Practice Address - Street 1:2554 W GLENCREST AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-3135
Practice Address - Country:US
Practice Address - Phone:714-952-1445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health