Provider Demographics
NPI:1477174639
Name:ARALE, KERRY MARIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KERRY
Middle Name:MARIE
Last Name:ARALE
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 1:30 STRATFORD CT
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-2043
Mailing Address - Country:US
Mailing Address - Phone:917-912-3003
Mailing Address - Fax:
Practice Address - Street 1:30 STRATFORD CT
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-2043
Practice Address - Country:US
Practice Address - Phone:917-912-3003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019310-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist