Healthcare Provider Details

I. General information

NPI: 1134427875
Provider Name (Legal Business Name): DREAMS IN MOTION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2011
Last Update Date: 03/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8202 CLEARVISTA PARKWAY SUITE 8F
INDIANAPOLIS IN
46256
US

IV. Provider business mailing address

8202 CLEARVISTA PARKWAY SUITE 8F
INDIANAPOLIS IN
46256
US

V. Phone/Fax

Practice location:
  • Phone: 317-570-6460
  • Fax: 317-637-0942
Mailing address:
  • Phone: 317-570-6460
  • Fax: 317-637-0942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. APRIL L DOWDEN
Title or Position: PRESIDENT
Credential: M.A., CCC-SLP
Phone: 317-570-6460