MEDICARE: MEGAN BUHMANN MT-BC

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	14157	VA

General Provider Information

NPI Number	:	1528746807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN BUHMANN MT-BC

Provider Business Mailing Address
First Line	:	111 REPUBLIC RD APT C
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23603-1449
Country	:	US
Telephone Number	:	757-679-9023
Fax Number	:

Provider Business Practice Location Address
First Line	:	4030 GEORGE WASHINGTON MEM HWY STE C
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23692-2619
Country	:	US
Telephone Number	:	757-679-9023
Fax Number	:

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

Provider Enumeration Date	:	07/07/2023
Last Update Date	:	07/07/2023

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