Healthcare Provider Details

I. General information

NPI: 1699428003
Provider Name (Legal Business Name): CLAUDIA ANGELINA VACCARO MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2022
Last Update Date: 01/27/2022
Certification Date: 01/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 ALUM CREEK DR
COLUMBUS OH
43209-2705
US

IV. Provider business mailing address

1350 ALUM CREEK DR
COLUMBUS OH
43209-2705
US

V. Phone/Fax

Practice location:
  • Phone: 614-262-7520
  • Fax:
Mailing address:
  • Phone: 614-262-7520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number16722
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: