Individual
JOSHUA C BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, HSPP
Contact information
Practice address
2040 N SHADELAND AVE STE 300, INDIANAPOLIS, IN 46219-1712
(317) 934-0755
Mailing address
1503 N MITTHOEFER RD, INDIANAPOLIS, IN 46229-2425
(317) 934-0755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043617A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430H72
MEDICARE PTAN
IN
05
—
300078631
—
IN
Enumeration date
03/08/2021
Last updated
10/10/2025
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