| Ariel Wallen Llc | |
| 
					62 Pine St Swampscott MA 01907-1828  | |
| (716) 445-9097 | |
| Not Available | 
| Full Name | Ariel Wallen Llc | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 62 Pine St, Swampscott, Massachusetts | 
| Authorized Official Name and Position | Ariel Wallen (THERAPIST) | 
| Authorized Official Contact | 7164459097 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ariel Wallen Llc 62 Pine St Swampscott MA 01907-1828 Ph: (716) 445-9097  | Ariel Wallen Llc 62 Pine St Swampscott MA 01907-1828 Ph: (716) 445-9097  | 
| NPI Number | 1497414015 | 
|---|---|
| Provider Enumeration Date | 12/10/2021 | 
| Last Update Date | 12/10/2021 | 
| Certification Date | 12/10/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1497414015 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
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