Individual
MR. BOYD RANDAL HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY D, HSPP
Contact information
Practice address
1800 N MERIDIAN ST STE 202, INDIANAPOLIS, IN 46202-1443
(317) 981-5503
Mailing address
8946 FOREST WILLOW DR, INDIANAPOLIS, IN 46234-8903
(317) 374-5183
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
20041741A
IN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/30/2011
Last updated
06/26/2019
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