Individual
DIANE ROBIN LICHTENBERG-SCANLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
66 GLEN COVE RD, GREENVALE, NY 11548-1048
(516) 286-1611
Mailing address
66 GLEN COVE RD, P.O. BOX 224, GREENVALE, NY 11548-1048
(516) 286-1611
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000556
NY
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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