Amy Formella, MT-BC

NPI #1295586402 in King, Wisconsin

Provider Information

NPI Number
1295586402
Entity Type
Individual
Name
Amy Formella, MT-BC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Music Therapist
Credential
MT-BC
Enumeration Date
Mar 27, 2024
Last Updated
Mar 27, 2024

Practice Location

Address
800 MITCHELL AVE
City
King
ZIP Code
54946-0601
Phone
(715) 258-5586

Specialties & Taxonomy Codes

Specialty
Music Therapist

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Organizations

Provider Name
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