Individual
BRADLEY RICHARD BIEDERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMT, MT-BC
Contact information
Practice address
211 FAIRVIEW TER, BALA CYNWYD, PA 19004-1810
(610) 617-3143
Mailing address
211 FAIRVIEW TER, BALA CYNWYD, PA 19004-1810
(610) 617-3143
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000058410002
PA DHS PROVIDER NUMBER
—
Enumeration date
06/07/2018
Last updated
06/07/2018
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