Healthcare Provider Details

I. General information

NPI: 1720914013
Provider Name (Legal Business Name): GENEVIEVE MOFFETT MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VETERANS WAY STE 200
CARNEGIE PA
15106-4400
US

IV. Provider business mailing address

1 VETERANS WAY STE 200
CARNEGIE PA
15106-4400
US

V. Phone/Fax

Practice location:
  • Phone: 412-206-9118
  • Fax:
Mailing address:
  • Phone: 412-206-9118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: