Individual
TIFFANIE RENAE ACKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC, NMT
Contact information
Practice address
805 ALYSE ST, DEER PARK, TX 77536-2806
(281) 904-8389
Mailing address
805 ALYSE ST, DEER PARK, TX 77536-2806
(281) 904-8389
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
07425
IL
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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