Healthcare Provider Details
I. General information
NPI: 1821553074
Provider Name (Legal Business Name): JULIE IGER ROSEMAN CMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/01/2019
Last Update Date: 02/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
252 SAN JOSE ST
SALINAS CA
93901-2204
US
IV. Provider business mailing address
62 LYNNE LN
SALINAS CA
93907-8439
US
V. Phone/Fax
- Phone: 800-214-5439
- Fax: 831-796-0334
- Phone: 831-320-6278
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225A00000X |
| Taxonomy | Music Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: