Healthcare Provider Details

I. General information

NPI: 1821795717
Provider Name (Legal Business Name): ANNA GRACE PIPER MT-BC, LPMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2023
Last Update Date: 02/10/2023
Certification Date: 02/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5417 42ND ST NW
WASHINGTON DC
20015-2913
US

IV. Provider business mailing address

5417 42ND ST NW
WASHINGTON DC
20015-2913
US

V. Phone/Fax

Practice location:
  • Phone: 240-888-4463
  • Fax:
Mailing address:
  • Phone: 240-888-4463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number10480
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: