NPI 1699431791
Clara Teall, MTBCNMT
Practice location
- Address
- 401 E Prospect Ave STE 208, Mount Prospect, IL 60056-3396
- Phone
- (734) 476-9712
- Mailing address
- 1619 W Fargo Ave APT 3, Chicago, IL 60626-1768
Registered specialties
Music Therapist
Primary
Registry record
- NPI
- 1699431791
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Nov 2021
- Record last updated
- 12 Nov 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.