Provider Demographics
NPI:1922623859
Name:WASHINGTON, HAROLD MICHAEL (MT-BC)
Entity Type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:MICHAEL
Last Name:WASHINGTON
Suffix:
Gender:M
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3523 S SARATOGA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-5819
Mailing Address - Country:US
Mailing Address - Phone:773-339-5009
Mailing Address - Fax:
Practice Address - Street 1:3523 S SARATOGA ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-5819
Practice Address - Country:US
Practice Address - Phone:773-339-5009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13977225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist