Individual provider · NPI-1

Callie Short

Drama Therapist · Astoria, NY

NPI number1982554481
StatusActive
Last updated in NPPESFeb 2, 2026

Details

NPI
1982554481
Entity type
Individual (NPI-1)
Name
Callie Short
Sole proprietor
Yes
Enumeration date
Feb 2, 2026
Certification date
Feb 2, 2026
Last updated
Feb 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101200000X Drama Therapist003044NYYes

Practice location

2819 23rd Ave Apt 2
Astoria, NY 11105-2719

Phone 718-296-2654

Mailing address

2819 23rd Ave Apt 2
Astoria, NY 11105-2719

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