Provider Demographics
NPI:1083771612
Name:HELLER, ARIANA (MA, MAED)
Entity Type:Individual
Prefix:MS
First Name:ARIANA
Middle Name:
Last Name:HELLER
Suffix:
Gender:F
Credentials:MA, MAED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5654
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-0654
Mailing Address - Country:US
Mailing Address - Phone:510-543-5343
Mailing Address - Fax:
Practice Address - Street 1:5655 COLLEGE AVE STE 314C
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1670
Practice Address - Country:US
Practice Address - Phone:510-543-5343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24618103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical