Individual
SHANNON POPLIN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
373 BROADWAY, STE. B05, NEW YORK, NY 10013-3926
(917) 331-0566
Mailing address
373 BROADWAY, STE. B05, NEW YORK, NY 10013-3926
(917) 331-0566
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001636
NY
Other
Enumeration date
03/03/2014
Last updated
09/01/2016
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