Provider Demographics
NPI:1265739510
Name:AREZINA, CLARE H (MT-BC, CCLS)
Entity type:Individual
Prefix:MS
First Name:CLARE
Middle Name:H
Last Name:AREZINA
Suffix:
Gender:F
Credentials:MT-BC, CCLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2603 COMPTON SQ
Mailing Address - Street 2:C103
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-4400
Mailing Address - Country:US
Mailing Address - Phone:412-477-4625
Mailing Address - Fax:
Practice Address - Street 1:2603 COMPTON SQ
Practice Address - Street 2:C103
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4400
Practice Address - Country:US
Practice Address - Phone:412-477-4625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
08233OtherCBMT
16709OtherCLC