Individual provider · NPI-1

Sean Paul Carleton

Drama Therapist · New York, NY

NPI number1730902842
StatusActive
Last updated in NPPESNov 6, 2024

Details

NPI
1730902842
Entity type
Individual (NPI-1)
Name
Sean Paul Carleton
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 6, 2024
Certification date
Nov 6, 2024
Last updated
Nov 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101200000X Drama Therapist002797NYYes

Practice location

225 Broadway Ste 2130
New York, NY 10007-3733

Phone 917-512-3899

Mailing address

20 8th Ave Apt 1a
Brooklyn, NY 11217-3729

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