IndividualActive
Dominque Fickling, LCAT
NPI 1497484018 · Dance Therapist · Nyack, NY
Provider details
- NPI number
- 1497484018
- Entity type
- Individual
- Primary specialty
- Dance TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LCAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 002676-01 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
149 Cedar Hill Ave
Nyack, NY 10960-2424
Phone: (917) 736-4507
Approximate (ZIP-level) locationGet directions
Mailing address
149 Cedar Hill Ave
Nyack, NY 10960-2424
Registry dates
- Enumerated
- 2022-06-08
- Last updated
- 2022-06-08
- Certified
- 2022-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.