Individual provider · NPI-1
Jekyung Jang, MT-BC
Music Therapist · Gilbert, AZ
NPI number1083842470
StatusActive
Last updated in NPPESJun 24, 2009
Details
- NPI
- 1083842470
- Entity type
- Individual (NPI-1)
- Name
- Jekyung Jang
- Credential
- MT-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2009
- Last updated
- Jun 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225A00000X | Music Therapist | 08896 | WY | Yes |
Practice location
1760 E Pecos RdSuite 307
Gilbert, AZ 85295-3200
Phone 602-635-7524 · Fax 602-635-4297
Mailing address
1817 N Dobson RdApt. 1063
Chandler, AZ 85224-8705
Phone 970-372-8498
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