Barbara Eileen Anderson, MTBC

Individual provider Active NPI Music Therapist · Shoreview, MN

NPI 1477763142 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1477763142
Entity type
Individual (NPI type 1)
Primary specialty
Music Therapist 225A00000X
License
05630 (MN)
Practice address
194 Dennison Ave
Shoreview, MN 55126-6203
Phone
(651) 482-9867
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
05630MNMDMusic Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 05630 MN Yes

Addresses

Primary practice location

194 Dennison Ave
Shoreview, MN 55126-6203

Mailing address

194 Dennison Ave
Shoreview, MN 55126-6203
Phone (651) 482-9867

Other providers in Shoreview, MN

All providers in Shoreview, MN · Music Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.