Healthcare Provider Details

I. General information

NPI: 1104058734
Provider Name (Legal Business Name): CAROLYN ANN DOBSON MT-BC, FELLOW UANMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAROLYN ANN WEBB MT-BC, FELLOW UANMT

II. Dates (important events)

Enumeration Date: 08/15/2009
Last Update Date: 08/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5142B FOOTHILL RD
CARPINTERIA CA
93013-3017
US

IV. Provider business mailing address

5142B FOOTHILL RD
CARPINTERIA CA
93013-3017
US

V. Phone/Fax

Practice location:
  • Phone: 214-923-2477
  • Fax:
Mailing address:
  • Phone: 214-923-2477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number14403
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: