Individual
DIANE K WALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
101 HURLEY AVE # 14, KINGSTON, NY 12401-2800
(845) 243-0619
Mailing address
741 2ND AVE, KINGSTON, NY 12401-8923
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002719
NY
Other
Enumeration date
05/28/2022
Last updated
01/13/2025
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