Individual
MS. MARY MELYSSA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT, MT-BC
Contact information
Practice address
99 FORT WASHINGTON AVE LOWR LEVEL, NEW YORK, NY 10032-4655
(646) 317-5742
Mailing address
99 FORT WASHINGTON AVE LOWR LEVEL, NEW YORK, NY 10032-4655
(646) 317-5742
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
001985
NY
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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