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NPI Code Detail

MEDICARE: JONI THOMPSON MMT, MT-BC

MEDICARE:   JONI  THOMPSON  MMT, 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 Therapist

General Provider Information

NPI Number : 1508146754
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONI THOMPSON MMT, MT-BC
Provider Business Mailing Address
First Line : 1369 POTOMAC AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20003-4413
Country : US
Telephone Number : 504-261-3100
Fax Number :
Provider Business Practice Location Address
First Line : 1369 POTOMAC AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20003-4413
Country : US
Telephone Number : 504-261-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2011
Last Update Date : 08/19/2011

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Directions to “ JONI THOMPSON MMT, MT-BC” Practice Location

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