Healthcare Provider Details

I. General information

NPI: 1538763495
Provider Name (Legal Business Name): VEREENMUSIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2020
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 ORCHARD AVE
LAWRENCEVILLE NJ
08648-3518
US

IV. Provider business mailing address

20 ORCHARD AVE
LAWRENCEVILLE NJ
08648-3518
US

V. Phone/Fax

Practice location:
  • Phone: 609-558-2847
  • Fax:
Mailing address:
  • Phone: 609-558-2847
  • 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: IMANI VEREEN
Title or Position: DIRECTOR OF MUSIC THERAPY SERVICES
Credential: MT-BC
Phone: 609-558-2847