Healthcare Provider Details

I. General information

NPI: 1801669700
Provider Name (Legal Business Name): CHRISTOPHER GRIFFITH MONROE MM, MT-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2023
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5495 W 10TH AVE APT 518
LAKEWOOD CO
80214-2593
US

IV. Provider business mailing address

5495 W 10TH AVE APT 518
LAKEWOOD CO
80214-2593
US

V. Phone/Fax

Practice location:
  • Phone: 989-600-0659
  • Fax:
Mailing address:
  • Phone: 989-600-0659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number13317
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: