Provider Demographics
NPI:1588385256
Name:MELODIC JOURNEYS MUSIC THERAPY
Entity type:Organization
Organization Name:MELODIC JOURNEYS MUSIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:408-768-6668
Mailing Address - Street 1:7411 E SAXTON LN
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-9483
Mailing Address - Country:US
Mailing Address - Phone:408-768-6668
Mailing Address - Fax:
Practice Address - Street 1:7411 E SAXTON LN
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-9483
Practice Address - Country:US
Practice Address - Phone:408-768-6668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty