Provider Demographics
NPI:1316579709
Name:SERVER, NANCY KAYE (MA, MT-BC, CDP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:KAYE
Last Name:SERVER
Suffix:
Gender:F
Credentials:MA, MT-BC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:379 VALLEYBROOK RD
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-9408
Mailing Address - Country:US
Mailing Address - Phone:610-772-3791
Mailing Address - Fax:
Practice Address - Street 1:379 VALLEYBROOK RD
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-9408
Practice Address - Country:US
Practice Address - Phone:610-772-3791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-04
Last Update Date:2020-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA09397225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist