Lacy Mucklow, MA, ATR-BC, LCPAT
Art Therapist in Sykesville, MD. Individual provider (NPI-1).
NPI number1356830665
StatusActive
Last updated in NPPESAug 2, 2024
Details
- NPI
- 1356830665
- Entity type
- Individual (NPI-1)
- Name
- Lacy Mucklow
- Credential
- MA, ATR-BC, LCPAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2018
- Certification date
- Aug 2, 2024
- Last updated
- Aug 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 221700000X | Art Therapist | ATC042 | MD | Yes |
| 221700000X | Art Therapist | – | – |
Practice location
7533 Main St Ste 1fSykesville, MD 21784-5308
Phone 410-970-6964 · Fax 410-970-6157
Mailing address
7533 Main St Ste 1fSykesville, MD 21784-5308
Phone 410-970-6964 · Fax 410-970-6157
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