Dr. Tyrone Bostic, Ph.D
Counselor, Pastoral in Indianapolis, IN. Individual provider (NPI-1).
NPI number1104274232
StatusActive
Last updated in NPPESMay 31, 2016
Details
- NPI
- 1104274232
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tyrone Bostic
- Credential
- Ph.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2016
- Last updated
- May 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP1600X | Counselor, Pastoral | – | – | Yes |
Practice location
5421 Fallwood Dr110
Indianapolis, IN 46220-5659
Phone 317-286-0157
Mailing address
5421 Fallwood Dr110
Indianapolis, IN 46220-5659
Phone 317-286-0157
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All 14 Pastoral Counselor providers in Indianapolis · All 38,312 providers in Indianapolis
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