Individual provider · NPI-1

Robert Clark Whiteside, MFA, ATR-BC, LCAT

Art Therapist · Pittsford, NY

NPI number1053490862
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1053490862
Entity type
Individual (NPI-1)
Name
Mr. Robert Clark Whiteside
Credential
MFA, ATR-BC, LCAT
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 3, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
221700000X Art Therapist000939NYYes

Practice location

9 Trowbridge Trl
Pittsford, NY 14534-1450

Phone 585-704-2597

Mailing address

9 Trowbridge Trl
Pittsford, NY 14534-1450

Phone 585-704-2597

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