Individual
NATHAN VIET PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT-BC
Contact information
Practice address
3601 MAPLESHADE LN, PLANO, TX 75075-5753
(469) 241-9100
Mailing address
3601 MAPLESHADE LN, PLANO, TX 75075-5753
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
12829
TX
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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