Individual
CASEY A FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
2734 JUDITH DRIVE, BELLMORE, NY 11710
(516) 426-9384
Mailing address
PO BOX 1203, BELLMORE, NY 11710-0486
(516) 426-9384
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002105-1
NY
Other
Enumeration date
03/14/2018
Last updated
03/20/2018
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