Individual
ARIELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
210 E 64TH ST FL 3, NEW YORK, NY 10065-7471
(313) 613-9047
Mailing address
379 S 1ST ST APT 3B, BROOKLYN, NY 11211-6076
(313) 613-9047
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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