NPI 1174388920

Stephanie Wise, LCATATRBCATCS

Practitioner Art Therapist Bushkill, PA

Practice location

Address: 113 Woods Ln, Bushkill, PA 18324-6967
Phone: (646) 509-3911

Registered specialties

Art Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 221700000X Licence 000028 (NY)

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Registry record

NPI: 1174388920
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Feb 2024
Record last updated: 20 Feb 2024

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.