Individual
JENNIFER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 608-5546
Mailing address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 608-5546
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001605
NY
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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