Healthcare Provider Details

I. General information

NPI: 1376187435
Provider Name (Legal Business Name): INCADENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2019
Last Update Date: 11/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5424 WALNUT ST FL 2
PITTSBURGH PA
15232-2230
US

IV. Provider business mailing address

5424 WALNUT ST FL 2
PITTSBURGH PA
15232-2230
US

V. Phone/Fax

Practice location:
  • Phone: 724-825-6102
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALLISON BROADDRICK
Title or Position: CEO
Credential: MT-BC
Phone: 724-825-6102