Provider Demographics
NPI:1952045866
Name:WOLF, CARA NOEL (LCAT, ATR-BC)
Entity Type:Individual
Prefix:MS
First Name:CARA
Middle Name:NOEL
Last Name:WOLF
Suffix:
Gender:F
Credentials:LCAT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 HALSEY ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-1002
Mailing Address - Country:US
Mailing Address - Phone:347-583-0235
Mailing Address - Fax:
Practice Address - Street 1:522 HALSEY ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-1002
Practice Address - Country:US
Practice Address - Phone:347-583-0235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
221700000X
NY002389251S00000X, 221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No251S00000XAgenciesCommunity/Behavioral Health