Provider Demographics
NPI:1053701417
Name:THE PALM BEACH MUSIC THERAPY INSTITUTE
Entity type:Organization
Organization Name:THE PALM BEACH MUSIC THERAPY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MUSIC THERAPIST AND FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:561-324-0743
Mailing Address - Street 1:11701 LAKE VICTORIA GARDENS AVE
Mailing Address - Street 2:SUITE 2202
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2706
Mailing Address - Country:US
Mailing Address - Phone:561-747-9944
Mailing Address - Fax:
Practice Address - Street 1:11701 LAKE VICTORIA GARDENS AVE
Practice Address - Street 2:SUITE 2202
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2706
Practice Address - Country:US
Practice Address - Phone:561-747-9944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty