Provider Demographics
NPI:1871105163
Name:SKORYK, ARIELLE (PSYD)
Entity type:Individual
Prefix:DR
First Name:ARIELLE
Middle Name:
Last Name:SKORYK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ARIELLE
Other - Middle Name:
Other - Last Name:VERDESCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:800 DENOW ROAD
Mailing Address - Street 2:SUITE C #337
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534
Mailing Address - Country:US
Mailing Address - Phone:201-341-6938
Mailing Address - Fax:
Practice Address - Street 1:800 DENOW ROAD
Practice Address - Street 2:SUITE C #337
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534
Practice Address - Country:US
Practice Address - Phone:201-341-6938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00621200103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist