Provider Demographics
NPI:1831433077
Name:WHITE, ARIELLE J
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:J
Last Name:WHITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ARIELLE
Other - Middle Name:J
Other - Last Name:ZEPEDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2135 27TH ST
Mailing Address - Street 2:APT A4
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-3073
Mailing Address - Country:US
Mailing Address - Phone:805-421-9577
Mailing Address - Fax:
Practice Address - Street 1:2135 27TH ST
Practice Address - Street 2:APT A4
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-3073
Practice Address - Country:US
Practice Address - Phone:805-421-9577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-10
Last Update Date:2012-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1012431912355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant