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NPI Code Detail

MEDICARE: PRIYANKA SOPHIE EMMONS MMT, MT-BC

MEDICARE: PRIYANKA SOPHIE EMMONS 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
1171W00000XContractor
2225A00000XMusic Therapist18033FL

General Provider Information

NPI Number : 1881569069
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRIYANKA SOPHIE EMMONS MMT, MT-BC
Provider Business Mailing Address
First Line : PO BOX 120694
Second Line :
City : MELBOURNE
State : FL
Zip : 32912-0694
Country : US
Telephone Number : 321-209-1071
Fax Number : 321-256-6424
Provider Business Practice Location Address
First Line : 1906 PLATT ST
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-4546
Country : US
Telephone Number : 321-209-1071
Fax Number : 321-256-6424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2025
Last Update Date : 10/21/2025

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Directions to “ PRIYANKA SOPHIE EMMONS MMT, MT-BC” Practice Location

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