Individual
JEAN RITCHIE FULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LCAT
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6170
Mailing address
140 CARTWRIGHT BOULEVARD, MASSAPEQUA PARK, NY 11762
(347) 694-0564
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001736
NY
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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