Healthcare Provider Details
I. General information
NPI: 1841574894
Provider Name (Legal Business Name): MUSICWORX INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/07/2011
Last Update Date: 10/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10455 SORRENTO VALLEY RD., STE 202
SAN DIEGO CA
92121-1622
US
IV. Provider business mailing address
10455 SORRENTO VALLEY RD., STE 202
SAN DIEGO CA
92121-1622
US
V. Phone/Fax
- Phone: 858-457-2201
- Fax: 858-457-2201
- Phone: 858-457-2201
- Fax: 858-457-2201
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: DR.
BARBARA
LOUISE
REUER
Title or Position: CEO AND FOUNDER
Credential: PH.D.
Phone: 858-457-2201