Healthcare Provider Details

I. General information

NPI: 1154897569
Provider Name (Legal Business Name): MICHELLE H CHOU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2018
Last Update Date: 07/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 BAINBRIDGE ST APT 13
RICHMOND VA
23224
US

IV. Provider business mailing address

1125 BAINBRIDGE ST APT 13
RICHMOND VA
23224-2187
US

V. Phone/Fax

Practice location:
  • Phone: 319-750-6202
  • Fax:
Mailing address:
  • Phone: 319-750-6202
  • 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: