Individual provider · NPI-1
Stacey Regner, MT-BC
Music Therapist · San Jose, CA
NPI number1780131797
StatusActive
Last updated in NPPESSep 7, 2016
Details
- NPI
- 1780131797
- Entity type
- Individual (NPI-1)
- Name
- Stacey Regner
- Credential
- MT-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2016
- Last updated
- Sep 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225A00000X | Music Therapist | 09965 | – | Yes |
Practice location
1617 Willowhurst AveSan Jose, CA 95125-5561
Phone 408-531-6428
Mailing address
1617 Willowhurst AveSan Jose, CA 95125-5561
Phone 408-531-6428
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