Healthcare Provider Details
I. General information
NPI: 1942929740
Provider Name (Legal Business Name): JOSHUA FRISCH MT-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/24/2022
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4530 UNION BAY PL NE STE 214
SEATTLE WA
98105-4000
US
IV. Provider business mailing address
4530 UNION BAY PL NE STE 214
SEATTLE WA
98105-4000
US
V. Phone/Fax
- Phone: 206-420-7345
- Fax:
- Phone: 206-420-7345
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225A00000X |
| Taxonomy | Music Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: