Individual
JENNIFER ANN DELLA VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LCAT
Contact information
Practice address
2 CORACI BLVD STE 10, SHIRLEY, NY 11967-4833
(631) 494-6389
Mailing address
7 MALLARD DR, CENTER MORICHES, NY 11934-3118
(631) 494-6389
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002151
NY
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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