Doctor Name: | STEPHANIE AIELLO |
NPI Number: | 1417234824 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 0764581 |
Business Practice Address: | 16 Wilcox Rd Whitesboro, NY - 134922112 |
Business Phone Number: | 3152663480 |
Business Fax Number: | |
Mailing Address: | 16 Wilcox Rd, WHITESBORO |
State: | NY |
Postal Code: | 134922112 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/14/2011 |
NPI Last Update Date: | 11/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | 0764581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |