Healthcare Provider Details

I. General information

NPI: 1104269794
Provider Name (Legal Business Name): THE CONCORD COMMUNITY MUSIC SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2013
Last Update Date: 04/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 WALL ST
CONCORD NH
03301-3742
US

IV. Provider business mailing address

23 WALL ST
CONCORD NH
03301-3742
US

V. Phone/Fax

Practice location:
  • Phone: 603-228-1196
  • Fax: 603-226-3151
Mailing address:
  • Phone: 603-228-1196
  • Fax: 603-226-3151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number10355
License Number StateNH

VIII. Authorized Official

Name: MS. MARGARET SENTER
Title or Position: CEO AND PRESIDENT
Credential:
Phone: 603-228-1196