Individual
THEODORE MEHRON EGHDAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT-BC
Contact information
Practice address
5743 BLACHLY WAY APT 2, SACRAMENTO, CA 95841-2458
(971) 295-4202
Mailing address
5743 BLACHLY WAY APT 2, SACRAMENTO, CA 95841-2458
(971) 295-4202
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
12/15/2025
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