Most Relevant Information
Provider Data
| NPI Number: | 1003258401 |
| Provider Name: | DIANE ROBIN LICHTENBERG-SCANLAN LCAT |
| Entity Type: | Individual |
| Taxonomy Code: | 221700000X |
| Specialty: | Art Therapist |
| License Number: | 000556 |
Most Important Dates
| Enumeration Date: | 07/25/2013 |
| Last Updated: | 07/25/2013 |
Provider Practice Location
66 GLEN COVE RD
GREENVALE
NY
115481048
Practice Location Phone/Fax
| Phone: | 5162861611 |
| Fax: |
Provider Mailing Location
66 GLEN COVE RD
P.O. BOX 224
GREENVALE
NY
115481048
Provider Mailing Phone/Fax
| Phone: | 5162861611 |
| Fax: |