Individual
MRS. KATHRYN ANNE FATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MT-BC, LCAT
Contact information
Practice address
111 CIRCLE RD, SYRACUSE, NY 13210-3045
(315) 751-3096
Mailing address
111 CIRCLE RD, SYRACUSE, NY 13210-3045
(315) 751-3096
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
11553
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001816
LICENSED CREATIVE ARTS THERAPIST
NY
01
—
11553
MT-BC MUSIC THERAPY NATIONAL BOARD CERTIFICATION
—
Enumeration date
04/27/2015
Last updated
06/20/2022
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