| Doctor Name: | MICHELLE DYER |
| NPI Number: | 1871725663 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.-PL-SLP |
| License Number: | 6050 |
| Business Practice Address: | 108 Mark Twain Dr River Ridge, LA - 701232480 |
| Business Phone Number: | 5049399894 |
| Business Fax Number: | |
| Mailing Address: | 5311 Glouster Rd, NEW ORLEANS |
| State: | LA |
| Postal Code: | 701272907 |
| Phone Number: | 5049754372 |
| Fax Number: | |
| NPI Enumeration Date: | 08/13/2009 |
| NPI Last Update Date: | 08/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | 6050 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |