Kaitlynn B Cornell-mullane, LCAT, RDT, MA is a
Drama Therapist based in Ridgewood, New York. Kaitlynn B Cornell-mullane is licensed to practice in New York (license number 002579) and her current practice location is
802 Seneca Ave Apt 3l, Ridgewood, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 901-2799.
NPI number for Kaitlynn B Cornell-mullane is 1285217547 and her current mailing address is 802 Seneca Ave Apt 3l, Ridgewood, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285217547.
Healthcare Provider's Profile
Full Name | Kaitlynn B Cornell-mullane |
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Gender | Female |
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Speciality | Drama Therapist |
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Location | 802 Seneca Ave Apt 3l, Ridgewood, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285217547
- Provider Enumeration Date: 05/04/2021
- Last Update Date: 05/08/2024
Medical Identifiers
Medical identifiers for Kaitlynn B Cornell-mullane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285217547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 002579 (New York) | Secondary |
221700000X | Art Therapist | 002579 (New York) | Secondary |
101200000X | Drama Therapist | 002579 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaitlynn B Cornell-mullane is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kaitlynn B Cornell-mullane, LCAT, RDT, MA 802 Seneca Ave Apt 3l, Ridgewood, NY 11385-4810 Ph: (845) 901-2799 | Kaitlynn B Cornell-mullane, LCAT, RDT, MA 802 Seneca Ave Apt 3l, Ridgewood, NY 11385-4810 Ph: (845) 901-2799 |
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