Individual
MRS. HAYLEY SUSANNE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
500 N US HIGHWAY 89 BLDG 148, PRESCOTT, AZ 86313-5001
(928) 445-4860
Mailing address
500 N US HIGHWAY 89 BLDG 148, PRESCOTT, AZ 86313-5001
(928) 445-4860
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
13584
AZ
Other
Enumeration date
09/04/2019
Last updated
11/18/2020
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