Provider Demographics
NPI:1508050568
Name:CALOVINI, BRENDA SUE (MA, MT-BC, NMT)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:SUE
Last Name:CALOVINI
Suffix:
Gender:F
Credentials:MA, MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:9731 ROYAL VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-3165
Mailing Address - Country:US
Mailing Address - Phone:440-237-7869
Mailing Address - Fax:
Practice Address - Street 1:9731 ROYAL VALLEY DR
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-3165
Practice Address - Country:US
Practice Address - Phone:440-237-7869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist