Provider Demographics
NPI:1689790107
Name:THE PALM BEACH MUSIC THERAPY INSTITUTE
Entity Type:Organization
Organization Name:THE PALM BEACH MUSIC THERAPY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:NIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MT BC
Authorized Official - Phone:561-324-0743
Mailing Address - Street 1:2929 E COMMUNITY DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8216
Mailing Address - Country:US
Mailing Address - Phone:561-747-9944
Mailing Address - Fax:
Practice Address - Street 1:125 W INDIANTOWN RD
Practice Address - Street 2:SUITE 204 B
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3539
Practice Address - Country:US
Practice Address - Phone:561-747-9944
Practice Address - Fax:561-747-5571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty