Healthcare Provider Details

I. General information

NPI: 1619254935
Provider Name (Legal Business Name): IN HARMONY MUSIC THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2011
Last Update Date: 11/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 N EL DORADO ST SUITE 12
STOCKTON CA
95204-5930
US

IV. Provider business mailing address

1610 N EL DORADO ST SUITE 12
STOCKTON CA
95204-5930
US

V. Phone/Fax

Practice location:
  • Phone: 209-482-6424
  • Fax: 866-256-0351
Mailing address:
  • Phone: 209-482-6424
  • Fax: 866-256-0351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number06241
License Number StateCA

VIII. Authorized Official

Name: MRS. KAREN RAE SANCHEZ
Title or Position: DIRECTOR/FOUNDER
Credential: MBA, MT-BC
Phone: 209-482-6424