Healthcare Provider Details
I. General information
NPI: 1275594723
Provider Name (Legal Business Name): SARAH ELIZABETH THOMPSON MM, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/31/2006
Last Update Date: 05/21/2020
Certification Date: 05/21/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2222 S FRASER ST UNIT 2
AURORA CO
80014-4515
US
IV. Provider business mailing address
2222 S FRASER ST UNIT 2
AURORA CO
80014-4515
US
V. Phone/Fax
- Phone: 303-817-0231
- Fax:
- Phone: 303-817-0231
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225A00000X |
| Taxonomy | Music Therapist |
| License Number | 06885 |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: