Individual
SUSAN UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
20 MEDICAL VILLAGE DR STE 200, EDGEWOOD, KY 41017-5403
(859) 202-0407
Mailing address
1206 SPRING ST, JEFFERSONVILLE, IN 47130-3704
(812) 288-1156
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
15349
—
Other
Enumeration date
08/29/2022
Last updated
07/13/2024
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