Provider Demographics
NPI:1104858158
Name:DYER, DON R (MS LPC)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:R
Last Name:DYER
Suffix:
Gender:M
Credentials:MS LPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:23 E 9TH
Mailing Address - Street 2:STE 321
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74801
Mailing Address - Country:US
Mailing Address - Phone:405-308-7946
Mailing Address - Fax:405-275-0973
Practice Address - Street 1:23 E 9TH
Practice Address - Street 2:STE 321
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74801
Practice Address - Country:US
Practice Address - Phone:405-308-7946
Practice Address - Fax:405-275-0973
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK458101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health