Individual
KELDA ELIZABETH NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ATR.BC
Contact information
Practice address
116 W 23RD ST FL 5, NEW YORK, NY 10011-2599
(917) 780-2171
Mailing address
259 W 121ST ST APT 1A, NEW YORK, NY 10027-6286
(646) 403-0597
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001418
NY
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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