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MRS. OLGA VIKTOROVNA SAMSONOVA-JELLISON MT-BC NPI 1750816211


NPI Information

NPI: 1750816211
Provider Name: MRS. OLGA VIKTOROVNA SAMSONOVA-JELLISON, MT-BC
Classification: Music Therapist - 225A00000X
Entity Type: Individual
Address:
3098 MACE AVE APT C
COSTA MESA, CA
ZIP 92626
Phone: (714) 308-1023
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MRS. Olga Viktorovna Samsonova-jellison, MT-BC is a music therapist in Costa Mesa, CA. The provider is 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. MRS. Olga Viktorovna Samsonova-jellison, MT-BC NPI is 1750816211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3098 MACE AVE APT C
COSTA MESA, CA
ZIP 92626-546
Phone: (714) 308-1023

The enumeration date for this NPI number is 4/21/2017 and was last updated on 4/21/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225A00000XMusic Therapist09262Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.