Most Relevant Information
Provider Data
| NPI Number: | 1003353947 |
| Provider Name: | MARY BEACH MT-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 225A00000X |
| Specialty: | Music Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/30/2017 |
| Last Updated: | 06/11/2021 |
Provider Practice Location
1807 MEADOW RIDGE CT
BETHLEHEM
PA
180155004
Practice Location Phone/Fax
| Phone: | 6108443087 |
| Fax: |
Provider Mailing Location
1807 MEADOW RIDGE CT
BETHLEHEM
PA
180155004
Provider Mailing Phone/Fax
| Phone: | 6108443087 |
| Fax: |