Individual
LAURA THERESE CERULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAMT, MT-BC
Contact information
Practice address
416 QUEEN ST, PHILADELPHIA, PA 19147-3094
(215) 320-2625
Mailing address
416 QUEEN ST, PHILADELPHIA, PA 19147-3094
(215) 320-2625
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC018534
PA
225A00000X
Music Therapist
Primary
11136
—
Other
Enumeration date
04/08/2024
Last updated
10/09/2025
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