NPI 1992220917

Shane Sullivan, MTBC

Practitioner Music Therapist Meriden, CT

Practice location

Address: 122 Windsor Ave Fl 2, Meriden, CT 06451-2900
Phone: (860) 222-5332

Registered specialties

Music Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225A00000X

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Registry record

NPI: 1992220917
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2017
Record last updated: 10 Aug 2017

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.