DONALD C LAYTON PHD
Clinical Neuropsychologist
Indianapolis, Indiana
Provider NPI: 1255437778
Provider Information:DONALD C LAYTON PHD
Gender: M
Not Sole Proprietor
Practice Location:
355 W 16TH ST SUITE 5100 INDIANAPOLIS, IN 46202 US
Tel: 317-396-1300 Fax: 317-924-8472
Business Mailing Address:
8333 NAAB RD SUITE 250 INDIANAPOLIS, IN 46260 US
Tel: 317-396-1300 Fax: 317-396-1346
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | IN | 20040047 |
N | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | IN | 20040047A |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RAILROAD MEDICARE | P01271614 | IN | 01 |
200884610 | IN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin