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NPI Code Detail

MEDICARE: ERIN ROSEN MT-BC

MEDICARE:   ERIN  ROSEN  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
1225A00000XMusic Therapist12036

General Provider Information

NPI Number : 1174030647
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN ROSEN MT-BC
Provider Business Mailing Address
First Line : 1919 CHESTNUT ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70130-5105
Country : US
Telephone Number : 603-769-1642
Fax Number :
Provider Business Practice Location Address
First Line : 1919 CHESTNUT ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70130-5105
Country : US
Telephone Number : 603-769-1642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2018
Last Update Date : 01/05/2018

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Directions to “ ERIN ROSEN MT-BC” Practice Location

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