MEDICARE: SIGNATURE MUSIC THERAPY SERVICES

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	225A00000X	Music Therapist		CO

General Provider Information

NPI Number	:	1396298105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGNATURE MUSIC THERAPY SERVICES

Provider Business Mailing Address
First Line	:	1225 COLORADO BLVD
Second Line	:	APT 106
City	:	DENVER
State	:	CO
Zip	:	80206-3635
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1225 COLORADO BLVD
Second Line	:	APT 106
City	:	DENVER
State	:	CO
Zip	:	80206-3635
Country	:	US
Telephone Number	:	719-439-6575
Fax Number	:

Authorized Official
Title or Position	:	OWNER AND MUSIC THERAPIST
Name	:	CATHERINE ALPETER
Credential	:	MM, MT-BC
Telephone Number	:	719-439-6575

Provider Enumeration Date	:	07/27/2016
Last Update Date	:	07/27/2016

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