NPI Profile for MELISA FORMAN in DOYLESTOWN, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Art Therapist |
221700000X |
| NPI Number | 1265761258 |
|
| Status | Active | |
| Credentials | A.T.R., L.P.C. | |
| Entity | Individual | |
| Enumeration date | 12/22/2009 | |
| Last updated | 12/05/2014 - About 12 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MELISA FORMAN
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