Active NPIIndividual providerSole proprietor

Holly M Gannon, LCAT

Art Therapist in Brooklyn, New York

NPI Number1427257153
Practice location
5601 16TH Ave, 5TH Floor, Brooklyn, NY 11204-1809
Fax
—
Last updated
July 12, 2007

Holly M Gannon is an Art Therapist based in Brooklyn, NY. Holly M Gannon practices in Brooklyn, NY and has the professional credentials of LCAT. The NPI Number for Holly M Gannon is 1427257153 and holds a License No. 001107-1 (NY). The current practice location address for Holly M Gannon is 5601 16TH Ave, 5TH Floor, Brooklyn, NY 11204-1809 and can be reached out via phone at 718-686-1526.

Provider Profile Details

NPI Number
1427257153
Provider Name
Holly M Gannon
Credential
LCAT
Provider Entity Type
Individual
Gender
Female
Address
5601 16TH Ave, 5TH Floor, Brooklyn, NY 11204-1809
Phone Number
718-686-1526
Primary Taxonomy
Art Therapist · 221700000X
Sole Proprietor
Yes
Other Names
-- Holly M Tupper, LCAT (Former Name)
Provider Enumeration Date
July 12, 2007
Last Update Date
July 12, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
5601 16TH Ave
5TH Floor
Brooklyn, NY 11204-1809
Zip
11204-1809
Phone Number
718-686-1526
Brooklyn, NY 11204Get directions →

Provider Business Mailing Address Details

Address
113 Saint Marks Pl Apt 3W
New York, NY 10009-5128
City
New York
State
NY
Zip
10009-5128
Phone Number
646-202-1431

License Information

License Number
001107-1
License State
NY
Taxonomy
Art Therapist · 221700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Holly M Gannon, LCAT?

The NPI number of Holly M Gannon, LCAT is 1427257153. It was assigned on July 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Holly M Gannon, LCAT?

Holly M Gannon, LCAT is registered under the primary taxonomy Art Therapist (code 221700000X), licensed in NY under license number 001107-1.

Where does Holly M Gannon, LCAT practice?

The practice location is 5601 16TH Ave, 5TH Floor, Brooklyn, NY 11204-1809. The office can be reached at 718-686-1526 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427257153 directly on the NPPES registry website.

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