Healthcare Provider Details

I. General information

NPI: 1356053706
Provider Name (Legal Business Name): MERIDIAN MUSIC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2022
Last Update Date: 12/16/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SOUTH ST STE 5
MILFORD NH
03055-3773
US

IV. Provider business mailing address

80 SOUTH ST STE 5
MILFORD NH
03055-3773
US

V. Phone/Fax

Practice location:
  • Phone: 603-305-3931
  • Fax:
Mailing address:
  • Phone: 603-305-3931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY C VARGA
Title or Position: OWNER
Credential: MT-BC
Phone: 603-305-3931