Provider Demographics
NPI:1902923477
Name:ARKING, CAROLYN RENE (MA, LLP)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:RENE
Last Name:ARKING
Suffix:
Gender:F
Credentials:MA, LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4149 SONATA DR
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-5207
Mailing Address - Country:US
Mailing Address - Phone:810-844-7323
Mailing Address - Fax:810-227-0267
Practice Address - Street 1:10299 GRAND RIVER RD
Practice Address - Street 2:SUITE I
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-6541
Practice Address - Country:US
Practice Address - Phone:810-844-7300
Practice Address - Fax:810-227-0267
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301009167103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical