MEDICARE: MRS. EMILY JONES MASSER LCPAT, ATR-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	221700000X	Art Therapist	ATC390	MD

General Provider Information

NPI Number	:	1780415802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY JONES MASSER LCPAT, ATR-BC

Provider Business Mailing Address
First Line	:	6511 BEVERLY RD
Second Line	:
City	:	IDLEWYLDE
State	:	MD
Zip	:	21239-1508
Country	:	US
Telephone Number	:	443-797-3209
Fax Number	:

Provider Business Practice Location Address
First Line	:	6501 N CHARLES ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21204-6819
Country	:	US
Telephone Number	:	410-938-5342
Fax Number	:

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

Provider Enumeration Date	:	08/10/2024
Last Update Date	:	01/07/2026

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