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NPI Code Detail

MEDICARE: SYDNE B. RANKINS MT-BC, QMHP-E

MEDICARE:   SYDNE B. RANKINS  MT-BC, QMHP-E
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 Therapist11849

General Provider Information

NPI Number : 1407460850
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNE B. RANKINS MT-BC, QMHP-E
Provider Business Mailing Address
First Line : 830 SOUTHLAKE BLVD STE B
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-3935
Country : US
Telephone Number : 804-466-3130
Fax Number : 804-466-3130
Provider Business Practice Location Address
First Line : 830 SOUTHLAKE BLVD STE B
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-3935
Country : US
Telephone Number : 804-466-3130
Fax Number : 804-466-3130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2020
Last Update Date : 03/11/2022

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Directions to “ SYDNE B. RANKINS MT-BC, QMHP-E” Practice Location

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