Music Therapy of Idaho, LLC

NPI #1508162512 in Boise, Idaho

Provider Information

NPI Number
1508162512
Entity Type
Organization
Organization Name
Music Therapy of Idaho, LLC
Primary Specialty
Music Therapist
Enumeration Date
Feb 9, 2011
Last Updated
Feb 9, 2011

Practice Location

Address
11210 W HICKORY LOOP DR
City
Boise
State
Idaho
ZIP Code
83713-1031
Phone
(208) 371-9102

Authorized Official

Name
STEPHANIE LEAVELL, MT-BC
Title
MUSIC THERAPIST
Phone
(208) 371-9102

Specialties & Taxonomy Codes

Specialty
Music Therapist

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