Most Relevant Information
Provider Data
| NPI Number: | 1003051467 |
| Provider Name: | EMILY BEVELAQUA PELLEGRINO |
| Entity Type: | Individual |
| Taxonomy Code: | 225A00000X |
| Specialty: | Music Therapist |
| License Number: | 08740 |
Most Important Dates
| Enumeration Date: | 12/12/2008 |
| Last Updated: | 12/12/2008 |
Provider Practice Location
72 MAPLEWOOD AVE
WEST HARTFORD
CT
06119
Practice Location Phone/Fax
| Phone: | 8605580802 |
| Fax: |
Provider Mailing Location
72 MAPLEWOOD AVE
WEST HARTFORD
CT
06119
Provider Mailing Phone/Fax
| Phone: | 8605580802 |
| Fax: |