Individual
HEATHER ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC, NMT
Contact information
Practice address
750 CENTRAL AVE, DOVER, NH 03820-3434
(603) 978-4808
Mailing address
6525 SHATTUCK AVE, OAKLAND, CA 94609-1017
(415) 548-0679
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
11/19/2010
Last updated
08/26/2022
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