Healthcare Provider Details

I. General information

NPI: 1124565775
Provider Name (Legal Business Name): DANIELLE ARIGO LIC PSYCHOLOGIST LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2017
Last Update Date: 01/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 LINDEN ST 205 ALUMNI MEMORIAL HALL
SCRANTON PA
18510-2429
US

IV. Provider business mailing address

800 LINDEN ST 205 ALUMNI MEMORIAL HALL
SCRANTON PA
18510-2429
US

V. Phone/Fax

Practice location:
  • Phone: 570-941-6174
  • Fax:
Mailing address:
  • Phone: 570-941-6174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS017648
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: