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: 08/29/2022
Certification Date: 08/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 WEST CHESTER PIKE SUITE 115
HAVERTOWN PA
19083-2742
US

IV. Provider business mailing address

2050 WEST CHESTER PIKE SUITE 115
HAVERTOWN PA
19083-2742
US

V. Phone/Fax

Practice location:
  • Phone: 610-449-9669
  • Fax: 610-449-5566
Mailing address:
  • Phone: 610-449-9669
  • Fax: 610-449-5566

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: