Individual
KATELYN ROSE HALLERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1527 5TH ST, WEST BABYLON, NY 11704-4541
(631) 867-2501
Mailing address
1527 5TH ST, WEST BABYLON, NY 11704-4541
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002497
NY
Other
Enumeration date
07/30/2021
Last updated
02/28/2024
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