1417971805 NPI number — MRS. VALERIE FERN USCHOCK LCAT, MT-BC, NMT

Table of content: MRS. VALERIE FERN USCHOCK LCAT, MT-BC, NMT (NPI 1417971805)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417971805 NPI number — MRS. VALERIE FERN USCHOCK LCAT, MT-BC, NMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
USCHOCK
Provider First Name:
VALERIE
Provider Middle Name:
FERN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCAT, MT-BC, NMT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417971805
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 275
Provider Second Line Business Mailing Address:
MUSIC THERAPY PROGRESSIONS
Provider Business Mailing Address City Name:
GREENSBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15601-0275
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-217-8800
Provider Business Mailing Address Fax Number:
724-836-8227

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
56 ADRIAN DR
Provider Second Line Business Practice Location Address:
MUSIC THERAPY PROGRESSIONS
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601-4961
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-217-8800
Provider Business Practice Location Address Fax Number:
724-836-8227
Provider Enumeration Date:
07/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1010193310002 . This is a "MEDICAL ASSISTANCE-FFS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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