MEDICARE: CECILY MEADE MM, 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
1	225A00000X	Music Therapist	16328	CO

General Provider Information

NPI Number	:	1841889987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECILY MEADE MM, MT-BC

Provider Business Mailing Address
First Line	:	2128 SPRINGFIELD CT
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80521-4219
Country	:	US
Telephone Number	:	406-899-3198
Fax Number	:

Provider Business Practice Location Address
First Line	:	2128 SPRINGFIELD CT
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80521-4219
Country	:	US
Telephone Number	:	406-899-3198
Fax Number	:

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

Provider Enumeration Date	:	01/13/2021
Last Update Date	:	02/04/2024

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