Doctor Name: | MS. AMY RULAND DYER |
NPI Number: | 1467787283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 63830 |
Business Practice Address: | 3028 Lavita Ln Farmers Branch, TX - 752346423 |
Business Phone Number: | 2146691002 |
Business Fax Number: | 9724883978 |
Mailing Address: | 941 York Dr, Suite 205 DESOTO |
State: | TX |
Postal Code: | 751152065 |
Phone Number: | 9723318739 |
Fax Number: | 9723318748 |
NPI Enumeration Date: | 10/13/2009 |
NPI Last Update Date: | 10/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 63830 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |