Organization
AXON HEALTH ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERAD MICHAEL DALTON DO (MEMBER)
(317) 818-9000
Entity
Organization
Contact information
Practice address
9245 N MERIDIAN ST STE 300, INDIANAPOLIS, IN 46260-1832
(317) 818-9000
(317) 818-9009
Mailing address
9245 N MERIDIAN ST STE 300, INDIANAPOLIS, IN 46260-1832
(317) 818-9000
(317) 818-9009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
IN
Other
Enumeration date
04/16/2013
Last updated
05/08/2023
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