Healthcare Provider Details
I. General information
NPI: 1265264014
Provider Name (Legal Business Name): LAURA JOAN BILL MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/19/2024
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1719 NJ-10 SUITE 300
PARSIPPANY NJ
07054
US
IV. Provider business mailing address
67 OAKWOOD AVE
MINE HILL NJ
07803-3227
US
V. Phone/Fax
- Phone: 862-217-6042
- Fax:
- Phone: 973-747-9117
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225A00000X |
| Taxonomy | Music Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: