Provider Demographics
NPI:1093966947
Name:THE MUSIC THERAPY CENTER INC
Entity Type:Organization
Organization Name:THE MUSIC THERAPY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NEVE
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC, NMT
Authorized Official - Phone:619-299-1411
Mailing Address - Street 1:7840 MISSION CENTER CT
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1319
Mailing Address - Country:US
Mailing Address - Phone:619-299-1411
Mailing Address - Fax:619-299-1412
Practice Address - Street 1:7840 MISSION CENTER CT
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1319
Practice Address - Country:US
Practice Address - Phone:619-299-1411
Practice Address - Fax:619-299-1412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225A00000X
CA15258235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty