Individual
DIANE L. MARINO,
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
334 N BARNETT ST, BROOKVILLE, PA 15825-1104
(814) 849-1918
Mailing address
334 N BARNETT ST, BROOKVILLE, PA 15825-1104
(814) 849-1918
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02090
CERTIFICATION BOARD FOR MUSIC THERAPISTS
—
Enumeration date
03/15/2019
Last updated
03/15/2019
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