Organization
SUMMIT MUSIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL MOZDIAN MM, MT-BC (OWNER, MUSIC THERAPIST)
(570) 862-2495
Entity
Organization
Contact information
Practice address
516 LAYTON RD, SOUTH ABINGTON TOWNSHIP, PA 18411-9308
(570) 862-2495
Mailing address
516 LAYTON RD, SOUTH ABINGTON TOWNSHIP, PA 18411-9308
(570) 862-2495
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103585950
—
PA
Enumeration date
03/13/2019
Last updated
06/11/2019
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