Healthcare Provider Details

I. General information

NPI: 1114812807
Provider Name (Legal Business Name): KATHERINE CURRAN RAYMOND MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 W OLIVE AVE
GLENDALE AZ
85302-3147
US

IV. Provider business mailing address

1201 S MCCLINTOCK DR APT 221
TEMPE AZ
85281-8507
US

V. Phone/Fax

Practice location:
  • Phone: 626-260-2410
  • Fax:
Mailing address:
  • Phone: 626-260-2410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number18466
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: