Healthcare Provider Details

I. General information

NPI: 1437780459
Provider Name (Legal Business Name): ARIELLE BERNSTEIN PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2020
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1729 21ST ST NW
WASHINGTON DC
20009-1101
US

IV. Provider business mailing address

1729 21ST ST NW
WASHINGTON DC
20009-1101
US

V. Phone/Fax

Practice location:
  • Phone: 202-234-0903
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810006394
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY200001585
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: