Healthcare Provider Details

I. General information

NPI: 1245889690
Provider Name (Legal Business Name): DYNAMIC MUSIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2019
Last Update Date: 06/22/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7502 MADISON AVE
INDIANAPOLIS IN
46227-5510
US

IV. Provider business mailing address

7502 MADISON AVE
INDIANAPOLIS IN
46227-5510
US

V. Phone/Fax

Practice location:
  • Phone: 317-829-6654
  • Fax:
Mailing address:
  • Phone: 317-829-6654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JENNIFER PINSON
Title or Position: MUSIC THERAPIST/OWNER
Credential: MT-BC
Phone: 317-829-6654