Healthcare Provider Details
I. General information
NPI: 1912952987
Provider Name (Legal Business Name): SOUNDING JOY MUSIC THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/24/2006
Last Update Date: 08/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1314 S KING ST SUITE 711
HONOLULU HI
96814-1956
US
IV. Provider business mailing address
1314 S KING ST SUITE 711
HONOLULU HI
96814-1956
US
V. Phone/Fax
- Phone: 808-593-2620
- Fax: 808-593-2620
- Phone: 808-593-2620
- Fax: 808-593-2620
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225A00000X |
| Taxonomy | Music Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | W20165828-01 |
| License Number State | HI |
VIII. Authorized Official
Name: MS.
KEIKO
KAJIWARA
Title or Position: PRESIDENT
Credential: MME, MA, MT-BC
Phone: 808-593-2620