MS. Lisa Ellis Costa, MT-BC
NPI #1609027705 in Greenville, South Carolina
Provider Information
- NPI Number
- 1609027705
- Entity Type
- Individual
- Name
- MS. Lisa Ellis Costa, MT-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Music Therapist
- Credential
- MT-BC
- Enumeration Date
- Oct 7, 2008
- Last Updated
- Oct 7, 2008
Practice Location
- Address
- 8B DAWSON RD
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29609-1310
- Phone
- (864) 246-3135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Music Therapist |
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