Healthcare Provider Details

I. General information

NPI: 1639303407
Provider Name (Legal Business Name): PATRICIA ANNE TURSE MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2009
Last Update Date: 05/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 EASTON AVE
NEW BRUNSWICK NJ
08901-1766
US

IV. Provider business mailing address

151 CORTLAND LN
BEDMINSTER NJ
07921-2035
US

V. Phone/Fax

Practice location:
  • Phone: 732-745-8600
  • Fax:
Mailing address:
  • Phone: 908-722-9151
  • Fax: 908-658-3118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number05987
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: