Provider Demographics
NPI:1518201516
Name:WEST, ARIELLE BRIDGES (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:BRIDGES
Last Name:WEST
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 JEFFREY AVE
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-9713
Mailing Address - Country:US
Mailing Address - Phone:207-352-0446
Mailing Address - Fax:
Practice Address - Street 1:8 JEFFREY AVE
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-9713
Practice Address - Country:US
Practice Address - Phone:207-352-0446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP2296235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist