Diane K Wald, LCAT, ATR-BC
Art Therapist in Kingston, NY. Individual provider (NPI-1).
NPI number1689313629
StatusActive
Last updated in NPPESJan 13, 2025
Details
- NPI
- 1689313629
- Entity type
- Individual (NPI-1)
- Name
- Diane K Wald
- Credential
- LCAT, ATR-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2022
- Certification date
- Jan 13, 2025
- Last updated
- Jan 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 221700000X | Art Therapist | 002719 | NY | Yes |
Practice location
101 Hurley Ave # 14Kingston, NY 12401-2800
Phone 845-243-0619
Mailing address
741 2nd AveKingston, NY 12401-8923
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