Individual
MS. ANN ELLEN GOODSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPS, ATR-BC, LSAT
Contact information
Practice address
462 1ST AVE # 20N40, NEW YORK, NY 10016-9196
(212) 562-3476
Mailing address
150 W 21ST ST APT 3K, NEW YORK, NY 10011-3278
(646) 251-8365
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001894
NY
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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