Kimberly Chang
Art Therapist in Pearl River, NY. Individual provider (NPI-1).
NPI number1699445726
StatusActive
Last updated in NPPESSep 20, 2021
Details
- NPI
- 1699445726
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Chang
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2021
- Certification date
- Sep 20, 2021
- Last updated
- Sep 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 221700000X | Art Therapist | 002066 | NY | Yes |
Practice location
275 N Middletown RdPearl River, NY 10965-1188
Phone 845-393-2188
Mailing address
275 N Middletown RdPearl River, NY 10965-1188
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