Provider Demographics
NPI:1427405182
Name:MITTON, JULIET FINKEY (MMT, MT-BC)
Entity Type:Individual
Prefix:
First Name:JULIET
Middle Name:FINKEY
Last Name:MITTON
Suffix:
Gender:F
Credentials:MMT, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 S VILLAGE CIR
Mailing Address - Street 2:
Mailing Address - City:REINHOLDS
Mailing Address - State:PA
Mailing Address - Zip Code:17569-9331
Mailing Address - Country:US
Mailing Address - Phone:717-572-6202
Mailing Address - Fax:
Practice Address - Street 1:11 S VILLAGE CIR
Practice Address - Street 2:
Practice Address - City:REINHOLDS
Practice Address - State:PA
Practice Address - Zip Code:17569-9331
Practice Address - Country:US
Practice Address - Phone:717-572-6202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA08223225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist