Provider Demographics
NPI:1598637795
Name:THERMY, CAMILLE (MT-BC, MMT)
Entity type:Individual
Prefix:MRS
First Name:CAMILLE
Middle Name:
Last Name:THERMY
Suffix:
Gender:F
Credentials:MT-BC, MMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6061 N FALLS CIRCLE DR APT 303
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-6835
Mailing Address - Country:US
Mailing Address - Phone:954-773-5890
Mailing Address - Fax:
Practice Address - Street 1:6061 N FALLS CIRCLE DR APT 303
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-6835
Practice Address - Country:US
Practice Address - Phone:954-773-5890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16383225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist