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NPI Code Detail

MEDICARE: HANNAH ROGERS MT-BC

MEDICARE:   HANNAH  ROGERS  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 Therapist17175LA

General Provider Information

NPI Number : 1902260953
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH ROGERS MT-BC
Provider Business Mailing Address
First Line : 620 BIENVILLE ST
Second Line : SUITE 9
City : LAKE CHARLES
State : LA
Zip : 70607-5851
Country : US
Telephone Number : 337-425-6490
Fax Number :
Provider Business Practice Location Address
First Line : 620 BIENVILLE ST
Second Line : SUITE 9
City : LAKE CHARLES
State : LA
Zip : 70607-5851
Country : US
Telephone Number : 337-425-6490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2016
Last Update Date : 04/06/2016

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Directions to “ HANNAH ROGERS MT-BC” Practice Location

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