MEDICARE: MADS HEMPHILL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	221700000X	Art Therapist

General Provider Information

NPI Number	:	1013706761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADS HEMPHILL

Provider Business Mailing Address
First Line	:	912 GREENE AVE APT 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-5627
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	912 GREENE AVENUE
Second Line	:	APT 2
City	:	BROOKLYN
State	:	NY
Zip	:	11221-5627
Country	:	US
Telephone Number	:	816-401-1449
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	04/30/2025

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Directions to “ MADS HEMPHILL ” Practice Location

Language	Start Address	Practice Location

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