Individual
MS. BETSY LAZARUS ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC, LCAT
Contact information
Practice address
2350 WATERS EDGE DR STE D, BAYSIDE, NY 11360-2214
(516) 400-2620
Mailing address
1855 CORPORAL KENNEDY ST APT 1E, BAYSIDE, NY 11360-1436
(516) 527-7990
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000343
NY
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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