Individual
MICHELE MONICA BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
2050 W CHESTER PIKE STE 115, HAVERTOWN, PA 19083-2742
(610) 449-9669
(610) 449-5566
Mailing address
1605 BRENT RD, ORELAND, PA 19075-2201
(215) 692-2334
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
12435
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032939740001
—
PA
05
—
1032939740002
—
PA
Enumeration date
03/29/2017
Last updated
07/21/2022
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