Healthcare Provider Details

I. General information

NPI: 1285543405
Provider Name (Legal Business Name): EMILY VANOPDORP MA, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 S BARSTOW ST STE 202
EAU CLAIRE WI
54701-2776
US

IV. Provider business mailing address

1022 BARLAND ST
EAU CLAIRE WI
54701-4172
US

V. Phone/Fax

Practice location:
  • Phone: 401-216-7309
  • Fax:
Mailing address:
  • Phone: 401-216-7309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number36038
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: