MEDICARE: WEN CHANG-LIT MA,LCAT,MTBC

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	001787	NY
2	225A00000X	Music Therapist	001787	TX

General Provider Information

NPI Number	:	1790264810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEN CHANG-LIT MA,LCAT,MTBC

Provider Business Mailing Address
First Line	:	1701 SIMOND AVE UNIT 110
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-4773
Country	:	US
Telephone Number	:	512-993-5856
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 SIMOND AVE UNIT 110
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-4773
Country	:	US
Telephone Number	:	512-993-5856
Fax Number	:

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

Provider Enumeration Date	:	08/09/2018
Last Update Date	:	03/26/2026

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