Provider Demographics
NPI:1891396941
Name:CHOPYK, ALICIA (MA, MT-BC, NMT, CBIS)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:CHOPYK
Suffix:
Gender:F
Credentials:MA, MT-BC, NMT, CBIS
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:
Other - Last Name:ROSELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, MT-BC, NMT, CBIS
Mailing Address - Street 1:3900 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1108
Mailing Address - Country:US
Mailing Address - Phone:844-234-8387
Mailing Address - Fax:
Practice Address - Street 1:3900 CHURCH RD
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-1108
Practice Address - Country:US
Practice Address - Phone:844-234-8387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
12392225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist