Individual
DALE VICTOR WAYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256-4621
(317) 621-5100
(317) 621-7896
Mailing address
6626 E 75TH STREET, STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7751
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000600A
IN
101YM0800X
Mental Health Counselor
Primary
39002265A
IN
Other
Enumeration date
07/29/2006
Last updated
03/19/2014
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