Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 0200171 | NY |
N | 103TM1800X | Intellectual & Developmental Disabilities | ||
N | 103TP2701X | Group Psychotherapist |
NPI | 1225466089 |
---|---|
Provider Name | Dr. Miri Arie |
First Address | Rochester, NY 14618 |
Second Address | Rochester, NY 14618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2013 |
Last Update Date | 29/05/2014 |