Healthcare Provider Details

I. General information

NPI: 1336588318
Provider Name (Legal Business Name): MUSIC THERAPY ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2013
Last Update Date: 01/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3437 MACARTHUR RD
WHITEHALL PA
18052-2905
US

IV. Provider business mailing address

3437 MACARTHUR RD
WHITEHALL PA
18052-2905
US

V. Phone/Fax

Practice location:
  • Phone: 610-740-9890
  • Fax:
Mailing address:
  • Phone: 610-740-9890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE M PURCELL
Title or Position: DIRECTOR
Credential: MT-BC
Phone: 610-740-9890