MEDICARE: ERIN AIELLO M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	239773	KY

General Provider Information

NPI Number	:	1417463233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN AIELLO M.S.

Provider Business Mailing Address
First Line	:	215 ARCADIA PARK
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-1333
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 EUCLID AVE STE 203
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40502-6429
Country	:	US
Telephone Number	:	815-236-6590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2017
Last Update Date	:	12/15/2017

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Directions to “ ERIN AIELLO M.S.” Practice Location

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