DR. TYRONE BOSTIC PH.D NPI 1104274232

NPI Information

NPI: 1104274232
Provider Name: DR. TYRONE BOSTIC, PH.D
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
5421 FALLWOOD DR
110
INDIANAPOLIS, IN
ZIP 46220
Phone: (317) 286-0157
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DR. Tyrone Bostic, PH.D is a pastoral counselor in Indianapolis, IN. DR. Tyrone Bostic, PH.D NPI is 1104274232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5421 FALLWOOD DR
110
INDIANAPOLIS, IN
ZIP 46220-659
Phone: (317) 286-0157

The enumeration date for this NPI number is 5/31/2016 and was last updated on 5/31/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP1600X	Counselor	Pastoral			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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