Individual
MEGAN MAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC, LCAT, IMH-E
Contact information
Practice address
2261 E MAIN ST, ROCHESTER, NY 14609-7602
(516) 242-6504
Mailing address
2261 E MAIN ST, ROCHESTER, NY 14609-7602
(516) 242-6504
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
001958
NY
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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