Provider Demographics
NPI:1013580257
Name:DYER, VINCENT DAVID (PSYD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:DAVID
Last Name:DYER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8701 PRITCHARD PL
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-2260
Mailing Address - Country:US
Mailing Address - Phone:504-300-7580
Mailing Address - Fax:
Practice Address - Street 1:8701 PRITCHARD PL
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-2260
Practice Address - Country:US
Practice Address - Phone:504-300-7580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2229103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical