Individual
DR. JIM L. DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., HSPP
Contact information
Practice address
6067 DECATUR BLVD, INDIANAPOLIS, IN 46241-9606
(317) 281-4545
(317) 856-2333
Mailing address
6067 DECATUR BLVD, INDIANAPOLIS, IN 46241-9606
(317) 281-4545
(317) 856-2333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041365A
IN
Other
Enumeration date
02/05/2007
Last updated
12/11/2017
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