Individual
DR. VICKIE DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10100 LANTERN RD STE 125, FISHERS, IN 46037-7806
(317) 775-3942
Mailing address
10100 LANTERN RD STE 125, FISHERS, IN 46037-7806
(317) 775-3942
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041770A
IN
103TC0700X
Clinical Psychologist
351706785
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000310551
ANTHEM
IN
Enumeration date
02/07/2006
Last updated
01/06/2023
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