Healthcare Provider Details

I. General information

NPI: 1730356874
Provider Name (Legal Business Name): ARELLA PSYCHOLOGICAL SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 03/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 ROUTE 55 SUITE 204
LAGRANGEVILLE NY
12540-5045
US

IV. Provider business mailing address

8308 CHELSEA CV N
HOPEWELL JCT NY
12533-7134
US

V. Phone/Fax

Practice location:
  • Phone: 845-797-3642
  • Fax:
Mailing address:
  • Phone: 845-226-4218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number014711-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number014711-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number014711-1
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number014711-1
License Number StateNY

VIII. Authorized Official

Name: DR. LORINDA R ARELLA
Title or Position: LICENSED PSYCHOLOGIST
Credential: PH.D.
Phone: 845-797-3642