IndividualActive
Mark Wickham, MT-BC
NPI 1972480846 · Music Therapist · Southington, CT
Provider details
- NPI number
- 1972480846
- Entity type
- Individual
- Primary specialty
- Music TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MT-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 78 (CT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
196 Queen St
Southington, CT 06489-1901
Phone: (860) 518-5777
Approximate (ZIP-level) locationGet directions
Mailing address
196 Queen St
Southington, CT 06489-1901
Registry dates
- Enumerated
- 2025-08-20
- Last updated
- 2025-08-20
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.