Healthcare Provider Details

I. General information

NPI: 1467908830
Provider Name (Legal Business Name): DANIELA ZORMEIER MT-BC, NMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2016
Last Update Date: 08/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2702 N 3RD ST STE 1000
PHOENIX AZ
85004-4605
US

IV. Provider business mailing address

2702 N 3RD ST STE 1000
PHOENIX AZ
85004-4605
US

V. Phone/Fax

Practice location:
  • Phone: 602-840-6410
  • Fax: 602-840-6431
Mailing address:
  • Phone: 602-840-6410
  • Fax: 602-840-6431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number12627
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: