Brenda Marie Walleman, MT-BC
Music Therapist in Medford, OR. Individual provider (NPI-1).
NPI number1891055034
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1891055034
- Entity type
- Individual (NPI-1)
- Name
- Brenda Marie Walleman
- Credential
- MT-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2012
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225A00000X | Music Therapist | MT-T-10179874 | OR | Yes |
Practice location
400 Crater Lake AveMedford, OR 97504-6808
Phone 541-622-2186 · Fax 541-770-9212
Mailing address
400 Crater Lake AveMedford, OR 97504-6808
Phone 541-622-2186 · Fax 541-770-9212
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