Provider Demographics
NPI:1811719362
Name:ABRAMS, BRIAN (PHD, MT-BC, LCAT)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:PHD, MT-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:588 UPPER MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-1623
Mailing Address - Country:US
Mailing Address - Phone:610-299-9630
Mailing Address - Fax:
Practice Address - Street 1:588 UPPER MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-1623
Practice Address - Country:US
Practice Address - Phone:610-299-9630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist