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Contact Information

KAITLYNN B CORNELL MULLANE, LCAT, RDT, MA
802 SENECA AVE APT 3L
RIDGEWOOD, NY11385-4810
 Phone: 845-901-2799
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Drama Therapist

101200000X
 

Art Therapist

221700000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for KAITLYNN B CORNELL MULLANE · (Female)

NPI # 1285217547
Status Active
Credentials LCAT, RDT, MA
Entity Individual
Enumeration date 05/04/2021
Last updated 05/08/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 002579
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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