National Provider Identifier

Robert Clark Whiteside, MFA, ATR-BC, LCAT

Robert Clark Whiteside, MFA, ATR-BC, LCAT is listed in the NPPES registry with a primary specialty of Art Therapist in Pittsford, NY and a listed phone number of (585) 704-2597.

NPI 1053490862Pittsford, NYArt Therapist

Profile Overview

NPI
1053490862
Provider Type
Individual
Primary Specialty
Art Therapist
Enumeration Date
November 03, 2006
Last Updated
July 08, 2007

Practice Location

  • 9 Trowbridge Trl
  • Pittsford, NY 14534-1450

Phone: (585) 704-2597

Specialties

  • Art Therapist (221700000X)
Full Record
NPI
1053490862
Entity Type
Individual
Last Name
Whiteside
First Name
Robert
Middle Name
Clark
Name Prefix
Mr.
Credential
MFA, ATR-BC, LCAT
Mailing Street Address
9 Trowbridge Trl
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534-1450
Mailing Country
US
Mailing Phone
(585) 704-2597
Practice Street Address
9 Trowbridge Trl
Practice City
Pittsford
Practice State
NY
Practice ZIP Code
14534-1450
Practice Country
US
Practice Phone
(585) 704-2597
Enumeration Date
November 03, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Art Therapist (221700000X)