Provider Demographics
NPI:1093051047
Name:GAROFALO, ARIELE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ARIELE
Middle Name:
Last Name:GAROFALO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 ERIE BLVD
Mailing Address - Street 2:
Mailing Address - City:SUSQUEHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:18847-2791
Mailing Address - Country:US
Mailing Address - Phone:570-853-3577
Mailing Address - Fax:570-853-3587
Practice Address - Street 1:155 ERIE BLVD
Practice Address - Street 2:
Practice Address - City:SUSQUEHANNA
Practice Address - State:PA
Practice Address - Zip Code:18847-2791
Practice Address - Country:US
Practice Address - Phone:570-853-3577
Practice Address - Fax:570-853-3587
Is Sole Proprietor?:No
Enumeration Date:2012-12-19
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPSO17954103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist