Provider Demographics
NPI:1851288336
Name:CHESAPEAKE MUSIC THERAPY LLC
Entity type:Organization
Organization Name:CHESAPEAKE MUSIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:NIKI
Authorized Official - Middle Name:
Authorized Official - Last Name:RUNGE
Authorized Official - Suffix:
Authorized Official - Credentials:MCAT, LPMT, MT-BC
Authorized Official - Phone:443-523-4976
Mailing Address - Street 1:209 E MARKET ST.
Mailing Address - Street 2:STE. 102
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801
Mailing Address - Country:US
Mailing Address - Phone:443-523-4976
Mailing Address - Fax:
Practice Address - Street 1:209 E MARKET ST.
Practice Address - Street 2:STE. 102
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801
Practice Address - Country:US
Practice Address - Phone:443-523-4976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty