National Provider Identifier
Donna W Polen, LCAT, MT-BC
Donna W Polen, LCAT, MT-BC is listed in the NPPES registry with a primary specialty of Music Therapist in Fairport, NY and a listed phone number of (585) 455-8381.
Profile Overview
- NPI
- 1871270397
- Provider Type
- Individual
- Primary Specialty
- Music Therapist
- Enumeration Date
- June 28, 2023
- Last Updated
- June 28, 2023
Practice Location
- 67 Waterford Way
- Fairport, NY 14450-9749
Phone: (585) 455-8381
Specialties
- Music Therapist (225A00000X)
Full Record
- NPI
- 1871270397
- Entity Type
- Individual
- Last Name
- Polen
- First Name
- Donna
- Middle Name
- W
- Credential
- LCAT, MT-BC
- Mailing Street Address
- 67 Waterford Way
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-9749
- Mailing Country
- US
- Mailing Phone
- (585) 455-8381
- Practice Street Address
- 67 Waterford Way
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-9749
- Practice Country
- US
- Practice Phone
- (585) 455-8381
- Enumeration Date
- June 28, 2023
- Last Updated
- June 28, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 28, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Music Therapist (225A00000X)