Toni M Pellegrino, LPAT
Individual provider Active NPI Art Therapist · Tabernacle, NJ
NPI 1700577228 · NPPES record last updated May 16, 2023
Key facts
- NPI
- 1700577228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Art Therapist 221700000X
- License
- 16LP00007000 (NJ)
- Practice address
- 34 Wicklow Dr
Tabernacle, NJ 08088-8668 - Phone
- (609) 351-5451
- NPI assigned
- May 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16LP00007000 | NJ | MD | Art Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist |
221700000X | 16LP00007000 | NJ | Yes |
Addresses
Primary practice location
34 Wicklow Dr
Tabernacle, NJ 08088-8668
Mailing address
34 Wicklow Dr
Tabernacle, NJ 08088-8668
Phone (609) 351-5451
Other providers in Tabernacle, NJ
- Thomas Edward McCann
- Tami Meale
- Alexandra Minnich
- Megan Moorhouse
- New Jersey CVS Pharmacy LLC
- Frances Ransome
- Rem New Jersey, Inc.
- Rem New Jersey, Inc.
- Rem New Jersey, Inc.
- Aaron Salaga
All providers in Tabernacle, NJ · Art Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.