Provider Demographics
NPI:1841171493
Name:STEIN, ARIELLE JOY (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:JOY
Last Name:STEIN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 ADELIA PATH
Mailing Address - Street 2:
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-5400
Mailing Address - Country:US
Mailing Address - Phone:516-712-4112
Mailing Address - Fax:
Practice Address - Street 1:22 ADELIA PATH
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-5400
Practice Address - Country:US
Practice Address - Phone:516-712-4112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035999235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty