Individual
CATHERINE DEYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
3600 ROUTE 112, CORAM, NY 11727-4116
(631) 920-8500
Mailing address
3600 ROUTE 112, CORAM, NY 11727-4116
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001214-1
NY
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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