Healthcare Provider Details

I. General information

NPI: 1639506827
Provider Name (Legal Business Name): LESLIE DIANE MILOFSKY MA, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1627 NEW JERSEY AVE NW
WASHINGTON DC
20001-2407
US

IV. Provider business mailing address

1627 NEW JERSEY AVE NW
WASHINGTON DC
20001-2407
US

V. Phone/Fax

Practice location:
  • Phone: 202-538-4369
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: