Elizabeth Lynn Bullock, MT-BC
Music Therapist in Cleveland, OH. Individual provider (NPI-1).
NPI number1790421691
StatusActive
Last updated in NPPESMay 12, 2022
Details
- NPI
- 1790421691
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Lynn Bullock
- Credential
- MT-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 12, 2022
- Certification date
- May 12, 2022
- Last updated
- May 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225A00000X | Music Therapist | – | – | Yes |
Practice location
10701 East BlvdCleveland, OH 44106-1702
Phone 216-791-3800
Mailing address
4230 Lambert RdSouth Euclid, OH 44121-2747
Phone 216-650-5709
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