Individual
STEPHANIE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
248 HIGBIE LN FL 1, WEST ISLIP, NY 11795-2828
(631) 867-2501
Mailing address
31 RANDY LN, PLAINVIEW, NY 11803-3942
(718) 736-4010
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002418
NY
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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