Healthcare Provider Details

I. General information

NPI: 1508525064
Provider Name (Legal Business Name): MICHELLE KAREN PECHT LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2021
Last Update Date: 12/13/2021
Certification Date: 12/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 HARRISBURG PIKE STE 315
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

112 E LINCOLN AVE FL 1
LITITZ PA
17543-1125
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-3000
  • Fax:
Mailing address:
  • Phone: 484-319-7304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License NumberMSG007352
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: