Provider Demographics
NPI:1013211374
Name:WB MUSIC THERAPY, LLC
Entity Type:Organization
Organization Name:WB MUSIC THERAPY, LLC
Other - Org Name:WBMT
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGING PARTNER/MUSIC THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WALBORN
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:717-468-1684
Mailing Address - Street 1:7728 GREEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-9746
Mailing Address - Country:US
Mailing Address - Phone:717-468-1684
Mailing Address - Fax:717-566-6556
Practice Address - Street 1:7728 GREEN HILL RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-9746
Practice Address - Country:US
Practice Address - Phone:717-468-1684
Practice Address - Fax:717-566-6556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-30
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA06637225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty