Provider Demographics
NPI:1245125624
Name:WOLF, ARIEL (AUD)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:WOLF
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 SOUTH ST APT 16
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-3147
Mailing Address - Country:US
Mailing Address - Phone:508-463-6528
Mailing Address - Fax:
Practice Address - Street 1:1244 BOYLSTON ST STE 303
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2115
Practice Address - Country:US
Practice Address - Phone:617-383-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAUD100131231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist