Individual
SASHA COHEN MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR-BC, LCAT
Contact information
Practice address
1125 FULTON ST, BROOKLYN, NY 11238-2669
(347) 226-9025
Mailing address
1125 FULTON ST, BROOKLYN, NY 11238-2669
(347) 226-0925
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
05-001799
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001799
LICENSE IN CREATIVE ARTS THERAPY
NY
01
—
15-063
ART THERAPY CREDENTIALS BOARD
—
Enumeration date
01/04/2017
Last updated
09/29/2021
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