BRENDA MARIE WALLEMAN


Address: 400 Crater Lake Ave, Medford, OR 97504-6808
Phone: (541) 622-2186

BRENDA MARIE WALLEMAN (NPI# 1891055034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891055034
Entity Type Individual
Full Name BRENDA MARIE WALLEMAN
Credential MT-BC
Practice Address 400 Crater Lake Ave
Medford
OR 97504-6808
Practice Telephone (541) 622-2186
Practice Fax Number 5417709212
Mailing Telephone (541) 622-2186
Mailing Fax Number 5417709212
Enumeration Date 2012-05-22
Last Update Date 2017-06-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225A00000X Music Therapist MT-T-10179874 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 400 CRATER LAKE AVE
City MEDFORD
State OR
Zip Code 97504-6808

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396898441 Johanna Lydia Buck Physical Therapist 400 Crater Lake Ave, Medford, OR 97504-6808 2007-01-20
1346876257 Kelly Marie Barlow Registered Nurse 400 Crater Lake Ave, Medford, OR 97504-6808 2020-03-23
1568971315 Rebecca Meador Occupational Therapist 400 Crater Lake Ave, Medford, OR 97504-6808 2017-09-25
1821526914 Sound Music Therapy, LLC. Music Therapist 400 Crater Lake Ave, Medford, OR 97504-6808 2017-06-01
1689105454 Yvette Provosty Physical Therapist 400 Crater Lake Ave, Medford, OR 97504-6808 2017-03-23
1467995084 Neurotherapeutic Pediatric Therapies, Inc Physical Therapist 400 Crater Lake Ave, Medford, OR 97504-6808 2016-11-30
1417346511 Audrie Kingzett Midwife 400 Crater Lake Ave, Medford, OR 97504-6808 2015-01-13
1285060517 Heather Chalmers Faith Midwife 400 Crater Lake Ave, Medford, OR 97504-6808 2013-09-18
1073950036 Aimee A Disharoon Midwife 400 Crater Lake Ave, Medford, OR 97504-6808 2013-05-31
1659629137 Wise Women Care Associates Midwife, Lay 400 Crater Lake Ave, Medford, OR 97504-6808 2012-08-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1114577368 Heather Ashley Fronek Nurse Practitioner 2825 E. Barnett Rd., Medford, OR 97504 2019-09-18
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
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Taxonomy Information

Taxonomy Code 225A00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Music Therapist

Taxonomy Definition

Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health.
Notes: Source: American Music Therapy Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386119436 Keith O'hara Music Therapist 900 Siskiyou Blvd Apt A6, Medford, OR 97504-7350 2018-10-04
1821526914 Sound Music Therapy, LLC. Music Therapist 400 Crater Lake Ave, Medford, OR 97504-6808 2017-06-01
1700200177 Emily Sutin Music Therapist 10 Union St, Medford, NJ 08055-2416 2014-02-05
1407286024 New Jersey School of Music Music Therapist 10 Union St, Medford, NJ 08055-2416 2013-11-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134789167 Hannah Bennion Music Therapist 443 C St, Creswell, OR 97426-9541 2019-06-20
1912474263 Matthew Eli Senn Music Therapist 26977 S Look Rd, Colton, OR 97017-8611 2018-10-25
1609363142 Steven L Patton Music Therapist 3532 Sw Logan St, Portland, OR 97219-1657 2018-04-19
1851754774 Catherine Hoxie Harris Music Therapist 9517 Sw Barbur Blvd, Portland, OR 97219-5414 2016-03-29
1285022814 Marchele Gilman Music Therapist 2138 Nw 2nd Ave, Ontario, OR 97914-1960 2015-01-06
1801234430 Sara Elizabeth Sweeney Music Therapist 8923 Se Alder St, Portland, OR 97216-1609 2013-06-05
1922360676 Emily Ross Music Therapist 4825 Sw Caldew St, Portland, OR 97219-1538 2012-06-08
1356602551 Eric Brian Bleich Music Therapist 22265 E Wild Fern Ln, Brightwood, OR 97011-8731 2012-06-04
1871853945 Melissa Joy Potts Music Therapist 4651 Princess Ct Ne, Salem, OR 97305-2241 2012-05-23
1538436324 Keeley Swete St Clair Music Therapist 5911 Se 18th Ave, Portland, OR 97202-5215 2011-11-21
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Competitor

Search similar providers

City MEDFORD
Zip Code 97504

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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