Individual
JESSICA PECKHAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15490 18TH AVE N APT 1516, PLYMOUTH, MN 55447-2494
(616) 446-4472
Mailing address
15490 18TH AVE N APT 1516, PLYMOUTH, MN 55447-2494
(616) 446-4472
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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