Healthcare Provider Details

I. General information

NPI: 1457699308
Provider Name (Legal Business Name): DEBORAH R KRET MM, MT-BC, NMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2013
Last Update Date: 01/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 E BEATRYCE ST
TEMPE AZ
85281-1001
US

IV. Provider business mailing address

327 E BEATRYCE ST
TEMPE AZ
85281-1001
US

V. Phone/Fax

Practice location:
  • Phone: 480-363-9524
  • Fax:
Mailing address:
  • Phone: 480-363-9524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: