Provider Demographics
NPI:1508199282
Name:MANCHESTER COMMUNITY MUSIC SCHOOL
Entity Type:Organization
Organization Name:MANCHESTER COMMUNITY MUSIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOUSIGNANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-644-4548
Mailing Address - Street 1:2291 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2213
Mailing Address - Country:US
Mailing Address - Phone:603-644-4548
Mailing Address - Fax:603-644-4507
Practice Address - Street 1:2291 ELM ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-2213
Practice Address - Country:US
Practice Address - Phone:603-644-4548
Practice Address - Fax:603-644-4507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
07972225A00000X
08312225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty