Individual
INGRID MELLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
29 W 36TH ST STE 5E, NEW YORK, NY 10018-7907
(908) 240-1462
Mailing address
486 PUTNAM AVE APT 2, BROOKLYN, NY 11221-1003
(908) 240-1462
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002051
NY
Other
Enumeration date
07/08/2013
Last updated
02/07/2019
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