Provider Demographics
NPI:1285703850
Name:EROY, ARIANE ETIENNE (PH D)
Entity type:Individual
Prefix:DR
First Name:ARIANE
Middle Name:ETIENNE
Last Name:EROY
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:MISS
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:WOLFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:PO BOX 460002
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94146-0002
Mailing Address - Country:US
Mailing Address - Phone:415-789-7675
Mailing Address - Fax:415-668-0246
Practice Address - Street 1:1801 BUSH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5239
Practice Address - Country:US
Practice Address - Phone:415-789-7675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26336103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1580OtherSF MENTAL HEALTH PROVIDER