Individual
TYISHA D NEDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
1282 BUSHWICK AVE APT 1, BROOKLYN, NY 11207-2295
(614) 360-8281
Mailing address
1282 BUSHWICK AVE APT 1, BROOKLYN, NY 11207-2295
(614) 360-8281
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
003001
NY
225600000X
Dance Therapist
Primary
P113472
NY
Other
Enumeration date
08/22/2022
Last updated
03/06/2026
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