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NPI Code Detail

MEDICARE: JENNIFER FRANCES ANDERSON MT-BC, NMT FELLOW

MEDICARE: JENNIFER FRANCES ANDERSON MT-BC, NMT FELLOW
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 Therapist07213WI

General Provider Information

NPI Number : 1932318193
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER FRANCES ANDERSON MT-BC, NMT FELLOW
Provider Business Mailing Address
First Line : 10459 E PINE VALLEY DR
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-1703
Country : US
Telephone Number : 480-620-9616
Fax Number :
Provider Business Practice Location Address
First Line : 2702 N 3RD ST STE 1000
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-4605
Country : US
Telephone Number : 602-840-6410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 07/08/2007

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Directions to “ JENNIFER FRANCES ANDERSON MT-BC, NMT FELLOW” Practice Location

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