Provider Demographics
NPI:1497130454
Name:DEMORET, ARIEL DANIELLE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:ARIEL
Middle Name:DANIELLE
Last Name:DEMORET
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2225 W SOUTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-4716
Mailing Address - Country:US
Mailing Address - Phone:623-888-3502
Mailing Address - Fax:480-795-6161
Practice Address - Street 1:2225 W SOUTHERN AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4716
Practice Address - Country:US
Practice Address - Phone:623-888-3502
Practice Address - Fax:480-795-6161
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP9506235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist