Provider Demographics
NPI:1730400037
Name:ARCENEAUX, DENISE S (MCD)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:S
Last Name:ARCENEAUX
Suffix:
Gender:F
Credentials:MCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 GOLD LEAF CIR
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-5194
Mailing Address - Country:US
Mailing Address - Phone:801-541-2555
Mailing Address - Fax:
Practice Address - Street 1:74 E 11800 S
Practice Address - Street 2:SUITE 360
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-5004
Practice Address - Country:US
Practice Address - Phone:801-290-0122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7383581-4101237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter