Provider Demographics
NPI:1902948797
Name:WISCONSIN CONSERVATORY OF MUSIC, INC.
Entity Type:Organization
Organization Name:WISCONSIN CONSERVATORY OF MUSIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DESCHERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-276-5760
Mailing Address - Street 1:1584 N PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-6501
Mailing Address - Country:US
Mailing Address - Phone:414-276-5760
Mailing Address - Fax:414-276-6076
Practice Address - Street 1:1584 N PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-6501
Practice Address - Country:US
Practice Address - Phone:414-276-5760
Practice Address - Fax:414-276-6076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty