Individual
ANDREW MICHAEL KAVANAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT-BC
Contact information
Practice address
2050 W CHESTER PIKE STE 115, HAVERTOWN, PA 19083-2742
(610) 449-9669
(610) 449-5566
Mailing address
14 FAIRFAX AVE, BLACKWOOD, NJ 08012-2846
(609) 247-5289
(610) 449-5566
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
11939
NJ
Other
Enumeration date
11/05/2017
Last updated
11/05/2017
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