Provider Demographics
NPI:1366123580
Name:JERARD LESS, ARIEL MARIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:MARIE
Last Name:JERARD LESS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ARIEL
Other - Middle Name:MARIE
Other - Last Name:JERARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:1028 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-1102
Mailing Address - Country:US
Mailing Address - Phone:716-859-5436
Mailing Address - Fax:716-859-5585
Practice Address - Street 1:1028 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-1102
Practice Address - Country:US
Practice Address - Phone:716-859-5436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025666-01103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical