NPI 1013555341

Anginese Davine Phillips, MSLCATBCDMT

Practitioner Dance Therapist New York, NY

Practice location

Address: 280 Madison Ave Rm 608, New York, NY 10016-0800
Phone: (646) 389-5801
Mailing address: 115 E 122nd St APT 5a, New York, NY 10035-2824

Registered specialties (2)

Dance Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225600000X Licence 001952 (NY)

Other Dance Therapist providers in New York →

Adult Development & Aging Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TA0700X

Other Psychologist providers in New York →

Registry record

NPI: 1013555341
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Dec 2019
Record last updated: 17 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.