Provider Demographics
NPI:1417454281
Name:ARNEY, TERESA W
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:W
Last Name:ARNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7851 ENON DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24019-1515
Mailing Address - Country:US
Mailing Address - Phone:540-265-5665
Mailing Address - Fax:540-265-0386
Practice Address - Street 1:7851 ENON DR
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-1515
Practice Address - Country:US
Practice Address - Phone:540-265-5665
Practice Address - Fax:540-265-0386
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2101002268237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2101002268OtherBOARD FOR HEARING AID SPECIALISTS