Healthcare Provider Details

I. General information

NPI: 1043729544
Provider Name (Legal Business Name): MONICA CALUDA MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2017
Last Update Date: 09/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 SUNSET BLVD
WEST COLUMBIA SC
29169-5959
US

IV. Provider business mailing address

3900 BENTLEY DR APT 1025
COLUMBIA SC
29210-7986
US

V. Phone/Fax

Practice location:
  • Phone: 803-250-6833
  • Fax:
Mailing address:
  • Phone: 540-336-0663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: