Provider Demographics
NPI:1356053706
Name:MERIDIAN MUSIC THERAPY LLC
Entity type:Organization
Organization Name:MERIDIAN MUSIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:C
Authorized Official - Last Name:VARGA
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:603-305-3931
Mailing Address - Street 1:80 SOUTH ST STE 5
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-3773
Mailing Address - Country:US
Mailing Address - Phone:603-305-3931
Mailing Address - Fax:
Practice Address - Street 1:80 SOUTH ST STE 5
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-3773
Practice Address - Country:US
Practice Address - Phone:603-305-3931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty