Individual
ARIELLE COOPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 837-9700
(860) 837-9701
Mailing address
2432 ALBANY AVE APT 321, WEST HARTFORD, CT 06117-2539
(860) 416-8944
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8.004577
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004577
MEDICAL LICENSE
CT
Enumeration date
06/11/2019
Last updated
11/29/2023
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