MEDICARE: CHRISTY MERRELL MUSIC THERAPY

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

General Provider Information

NPI Number	:	1326793407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTY MERRELL MUSIC THERAPY

Provider Business Mailing Address
First Line	:	7466 TEASDALE AVE
Second Line	:
City	:	UNIVERSITY CITY
State	:	MO
Zip	:	63130-4047
Country	:	US
Telephone Number	:	314-619-9936
Fax Number	:

Provider Business Practice Location Address
First Line	:	7466 TEASDALE AVE
Second Line	:
City	:	UNIVERSITY CITY
State	:	MO
Zip	:	63130-4047
Country	:	US
Telephone Number	:	314-619-9936
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTY MERRELL
Credential	:	MT-BC
Telephone Number	:	314-619-9936

Provider Enumeration Date	:	02/16/2022
Last Update Date	:	07/11/2023

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