Individual provider · Type 1 NPI
Tyrone Bostic, PhD
Pastoral Counselor · Indianapolis, IN
NPI number
1104274232
Active
Practice location
5421 Fallwood Dr, 110
Indianapolis, IN 46220-5659
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor Primary | 101YP1600X | None listed |
Pastoral Counselor: Definition to come...
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About NPI 1104274232
Tyrone Bostic, PhD's National Provider Identifier is 1104274232, issued on May 31, 2016. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Indianapolis, IN. The record was last updated on May 31, 2016.