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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRANDA IRENE PAINE-JESAM, MT-BC

Active Sole Proprietor

MIRANDA IRENE PAINE-JESAM, MT-BC is a Music Therapist healthcare provider located in ABITA SPRINGS, Louisiana. NPI 1982904983 is currently active in the NPPES registry. Verify at CMS.

Music Therapist · ABITA SPRINGS, LA

Registration Details

NPI Number
1982904983
Provider Type
Individual
Gender
Female
NPI Issued
Oct 25, 2010 (15.761719821583 yrs)
Last Updated
Oct 25, 2010
License
09424 (LA)
Sole Proprietor
Yes

Practice Information

Address
21236 ORME ST
ABITA SPRINGS, LA, 704203430
Browse LA providers · Browse ZIP 70420
Phone
9727623403
Primary Specialty
Music Therapist
225A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.