MEDICARE: EMILY MACPHERSON MT-BC, LPMT

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	MUS00005	RI

General Provider Information

NPI Number	:	1942758396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY MACPHERSON MT-BC, LPMT

Provider Business Mailing Address
First Line	:	49 HOUGHTON ST # 3
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02122-3301
Country	:	US
Telephone Number	:	480-283-5192
Fax Number	:

Provider Business Practice Location Address
First Line	:	59 S COUNTY COMMONS WAY
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-8270
Country	:	US
Telephone Number	:	401-783-4810
Fax Number	:

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

Provider Enumeration Date	:	09/14/2016
Last Update Date	:	09/14/2016

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