| Doctor Name: | AMY DIAL |
| NPI Number: | 1336493758 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA. ED. |
| License Number: | A9331 |
| Business Practice Address: | 162 Schmidt Ln Lumber Bridge, NC - 283579030 |
| Business Phone Number: | 9104945888 |
| Business Fax Number: | |
| Mailing Address: | 1188 Red Hill Rd., MAXTON |
| State: | NC |
| Postal Code: | 283648084 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2012 |
| NPI Last Update Date: | 11/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | A9331 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |