Basic Information
| Provider Information | |||||||||
| NPI: | 1073016838 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | THE ART THERAPY PROJECT CORPORATION | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | THE ART THERAPY PROJECT | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 132 W 21ST ST FL 6 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100113203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125922755 | ||||||||
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| Practice Location | |||||||||
| Address1: | 132 W 21ST ST FL 6 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100113203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125922755 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2018 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | LEDERMAN | ||||||||
| AuthorizedOfficialFirstName: | LINDSAY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CLINICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 2125922311 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | ATR-BC, LCAT, ATCS | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 221700000X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Art Therapist |
No ID Information.