Individual
DR. TYRONE BOSTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
5421 FALLWOOD DR, 110, INDIANAPOLIS, IN 46220-5659
(317) 286-0157
Mailing address
5421 FALLWOOD DR, 110, INDIANAPOLIS, IN 46220-5659
(317) 286-0157
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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