Provider Demographics
NPI:1043729544
Name:CALUDA, MONICA (MT-BC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:CALUDA
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 BENTLEY DR APT 1025
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-7986
Mailing Address - Country:US
Mailing Address - Phone:540-336-0663
Mailing Address - Fax:
Practice Address - Street 1:1900 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-5959
Practice Address - Country:US
Practice Address - Phone:803-250-6833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
11325OtherCERTIFICATION BOARD FOR MUSIC THERAPIST