Organization
LAKE ERIE MUSIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG A STEVENS MA, MT-BC, NMT (PRESIDENT)
(814) 746-6672
Entity
Organization
Contact information
Practice address
5672 CULPEPPER DR., ERIE, PA 16506
(814) 746-6672
Mailing address
5672 CULPEPPER DR., ERIE, PA 16506
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
08471
PA
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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