Provider Demographics
NPI:1639440886
Name:ARIY, NESHMIL (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:NESHMIL
Middle Name:
Last Name:ARIY
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1646 BROOKES AVE APT C
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-5137
Mailing Address - Country:US
Mailing Address - Phone:619-495-6226
Mailing Address - Fax:
Practice Address - Street 1:3636 4TH AVE STE 302
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-4294
Practice Address - Country:US
Practice Address - Phone:858-247-1928
Practice Address - Fax:855-975-3011
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA114112106H00000X
CA79412106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist