Provider Demographics
NPI:1962547224
Name:SLIVE, ARNOLD (PHD)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:
Last Name:SLIVE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 N GENERAL MCMULLEN DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-6205
Mailing Address - Country:US
Mailing Address - Phone:210-434-1054
Mailing Address - Fax:210-434-1380
Practice Address - Street 1:590 N GENERAL MCMULLEN DR
Practice Address - Street 2:SUITE 3
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-6205
Practice Address - Country:US
Practice Address - Phone:210-434-1054
Practice Address - Fax:210-434-1380
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33488103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist