Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Wickham, MT-BC

Individual provider Music Therapist · NPI 1972480846

Mark Wickham, MT-BC is a Music Therapist in Southington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2025.

Licensed in
CT
In the registry since
2025

Practice location Address checks out

196 Queen St
Southington, CT 06489-1901
Phone: (860) 518-5777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Music Therapist (primary) Taxonomy 225A00000X · Licence 78 (CT)

Record details

NPI number1972480846
Entity typeIndividual (Type 1)
GenderMale
Credentials MT-BC
Sole proprietorNo
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 20, 2025
Certification dateJuly 31, 2025
Mailing address196 Queen St, Southington, CT 06489-1901

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