Individual
COURTNEY RICHELLE LIEN RIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
435 4TH ST, TROY, NY 12180-5324
(518) 271-6777
Mailing address
435 4TH ST, TROY, NY 12180-5324
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10505
CERTIFICATION BOARD FOR MUSIC THERAPISTS
NY
Enumeration date
12/08/2014
Last updated
05/13/2016
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