MEDICARE: SAMANTHA DEAN MM, MT-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225A00000X	Music Therapist	12447	NJ

General Provider Information

NPI Number	:	1144157504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA DEAN MM, MT-BC

Provider Business Mailing Address
First Line	:	12 CULPEPER KY
Second Line	:
City	:	COLTS NECK
State	:	NJ
Zip	:	07722-1759
Country	:	US
Telephone Number	:	908-839-5145
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 RTE 34 N
Second Line	:
City	:	COLTS NECK
State	:	NJ
Zip	:	07722
Country	:	US
Telephone Number	:	908-839-5145
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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