PROF. Edward A. Roth III, NMT, MT-BC

NPI #1669682563 in Kalamazoo, Michigan

Provider Information

NPI Number: 1669682563
Entity Type: Individual
Name: PROF. Edward A. Roth III, NMT, MT-BC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Music Therapist
Credential: NMT, MT-BC
Enumeration Date: May 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3415 IROQUOIS TRL
City: Kalamazoo
State: Michigan
ZIP Code: 49006-2032
Phone: (269) 373-0426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Music Therapist	225A00000X	Primary

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