Provider Demographics
NPI:1285007617
Name:FEKETT, ARDEN SUE (LCAT)
Entity Type:Individual
Prefix:MRS
First Name:ARDEN
Middle Name:SUE
Last Name:FEKETT
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 NORTHRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-1927
Mailing Address - Country:US
Mailing Address - Phone:516-655-0573
Mailing Address - Fax:
Practice Address - Street 1:84 NORTHRIDGE AVE
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-1927
Practice Address - Country:US
Practice Address - Phone:516-655-0573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-06
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY(LCAT)#000 664-1102X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist