Most Relevant Information
Provider Data
| NPI Number: | 1003694522 |
| Provider Name: | JULIE HAYES O'CONNOR LCAT |
| Entity Type: | Individual |
| Taxonomy Code: | 221700000X |
| Specialty: | Art Therapist |
| License Number: | 000768 |
Most Important Dates
| Enumeration Date: | 09/18/2023 |
| Last Updated: | 09/18/2023 |
Provider Practice Location
361 TRACEY LN
GRAND ISLAND
NY
140721949
Practice Location Phone/Fax
| Phone: | 7169099359 |
| Fax: |
Provider Mailing Location
361 TRACEY LN
GRAND ISLAND
NY
140721949
Provider Mailing Phone/Fax
| Phone: | 7169099359 |
| Fax: |