| Doctor Name: | PROF. ALBERT JAMES DYER |
| NPI Number: | 1972797843 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PASTOR |
| License Number: | |
| Business Practice Address: | 1226 Georgia St Shreveport, LA - 711044008 |
| Business Phone Number: | 3188614603 |
| Business Fax Number: | |
| Mailing Address: | 1226 Georgia St, SHREVEPORT |
| State: | LA |
| Postal Code: | 711044008 |
| Phone Number: | 3188614603 |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2007 |
| NPI Last Update Date: | 09/04/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |