Individual
ELLEN WHEALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
3221 TEHAMA CT, AUSTIN, TX 78738-5425
(512) 402-0977
Mailing address
3221 TEHAMA CT, AUSTIN, TX 78738-5425
(512) 402-0977
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
09176
TX
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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