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
N	103TC0700X	Behavioral Health & Social Service Providers Psychologist Clinical	IN	20040047A
Y	103G00000X	Behavioral Health & Social Service Providers Clinical Neuropsychologist	IN	20040047

Other Provider Identifiers:

Issuer	Number	State	Type
RAILROAD MEDICARE	P01271614	IN	01
	200884610	IN	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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