Individual
EVAN GAMBLE WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCAT
Contact information
Practice address
4141 CARPENTER AVE, 2ND FLOOR, BRONX, NY 10466-2600
(718) 920-9595
(718) 920-6885
Mailing address
4141 CARPENTER AVE, 2ND FLOOR, BRONX, NY 10466-2600
(718) 920-9595
(718) 920-6885
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000850-1
NY
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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