National Provider Identifier

Andrea Mundt, MS, LCAT, ATR-BC

Andrea Mundt, MS, LCAT, ATR-BC is listed in the NPPES registry with a primary specialty of Art Therapist in Brockport, NY and a listed phone number of (585) 454-9338.

NPI 1043081771Brockport, NYArt Therapist

Profile Overview

NPI
1043081771
Provider Type
Individual
Primary Specialty
Art Therapist
Enumeration Date
January 11, 2024
Last Updated
January 11, 2024

Practice Location

  • 4107 Lake RD N
  • Brockport, NY 14420-1519

Phone: (585) 454-9338

Mailing Address

  • 1303 Redman RD
  • Hamlin, NY 14464-9606

Specialties

  • Art Therapist (221700000X)
Full Record
NPI
1043081771
Entity Type
Individual
Last Name
Mundt
First Name
Andrea
Credential
MS, LCAT, ATR-BC
Mailing Street Address
1303 Redman RD
Mailing City
Hamlin
Mailing State
NY
Mailing ZIP Code
14464-9606
Mailing Country
US
Practice Street Address
4107 Lake RD N
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1519
Practice Country
US
Practice Phone
(585) 454-9338
Enumeration Date
January 11, 2024
Last Updated
January 11, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
January 11, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Art Therapist (221700000X)