Individual
TING TING CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 SKYWAY DR, CAMARILLO, CA 93010-8552
(805) 383-1155
Mailing address
333 SKYWAY DR, CAMARILLO, CA 93010-8552
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
12970
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12970
MT-BC
—
Enumeration date
02/21/2019
Last updated
02/21/2019
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