Provider Demographics
NPI:1053551556
Name:RODIN, ARTHUR (MSCCC-SLP)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:
Last Name:RODIN
Suffix:
Gender:M
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE FAUSTINO CORDON BONET, 4
Mailing Address - Street 2:5B
Mailing Address - City:MADRID
Mailing Address - State:MADRID
Mailing Address - Zip Code:28024
Mailing Address - Country:ES
Mailing Address - Phone:3491-705-0022
Mailing Address - Fax:
Practice Address - Street 1:CALLE FAUSTINO CORDON BONET, 4
Practice Address - Street 2:5B
Practice Address - City:MADRID
Practice Address - State:MADRID
Practice Address - Zip Code:28024
Practice Address - Country:ES
Practice Address - Phone:3491-705-0022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9580235Z00000X
MA4199235Z00000X
VA2202004095235Z00000X
TX101691235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist