Provider Demographics
NPI:1740455666
Name:FRISCH, ARIELA (MA, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:ARIELA
Middle Name:
Last Name:FRISCH
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:FRISCH
Other - Middle Name:
Other - Last Name:AUDIOLOGY LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:107 W TRYON AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3605
Mailing Address - Country:US
Mailing Address - Phone:201-754-8495
Mailing Address - Fax:
Practice Address - Street 1:107 W TRYON AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3605
Practice Address - Country:US
Practice Address - Phone:201-754-8495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002013231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist