Healthcare Provider Details

I. General information

NPI: 1356061733
Provider Name (Legal Business Name): RILEY ANNE HOHENSTEIN MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 REED RD FL 1
BROOMALL PA
19008-4008
US

IV. Provider business mailing address

6038 WISSAHICKON AVE
PHILADELPHIA PA
19144-4905
US

V. Phone/Fax

Practice location:
  • Phone: 484-450-6476
  • Fax: 484-224-3398
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number17034
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: