National Provider Identifier

Jennifer Russell Phillips, MT-BC, NMT

Jennifer Russell Phillips, MT-BC, NMT is listed in the NPPES registry with a primary specialty of Music Therapist in Rochester, NY and a listed phone number of (585) 454-4596.

NPI 1740887074Rochester, NYMusic Therapist

Profile Overview

NPI
1740887074
Provider Type
Individual
Primary Specialty
Music Therapist
Enumeration Date
October 09, 2020
Last Updated
October 09, 2020

Practice Location

  • 50 N Plymouth Ave
  • Rochester, NY 14614-1221

Phone: (585) 454-4596

Mailing Address

  • 60 Woody Ln
  • Rochester, NY 14625-1316

Specialties

  • Music Therapist (225A00000X)
Full Record
NPI
1740887074
Entity Type
Individual
Last Name
Phillips
First Name
Jennifer
Middle Name
Russell
Credential
MT-BC, NMT
Mailing Street Address
60 Woody Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-1316
Mailing Country
US
Mailing Phone
(585) 402-0773
Practice Street Address
50 N Plymouth Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14614-1221
Practice Country
US
Practice Phone
(585) 454-4596
Enumeration Date
October 09, 2020
Last Updated
October 09, 2020
Sex
Female
Sole Proprietor
No
Certification Date
October 09, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Music Therapist (225A00000X)