Individual
MRS. NICOLE LEIGH O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA MT-BC NMT/F LPMT
Contact information
Practice address
25 W INDEPENDENCE WAY STE B, KINGSTON, RI 02881
(401) 783-4810
Mailing address
PO BOX 5333, WAKEFIELD, RI 02880-5333
(401) 783-4810
(401) 783-4810
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
MUS00001
RI
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
06/05/2019
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