Provider Demographics
NPI:1407107659
Name:DYER, DEBORAH KAY (MS, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:KAY
Last Name:DYER
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 4TH ST STE E
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57006-1940
Mailing Address - Country:US
Mailing Address - Phone:605-690-7684
Mailing Address - Fax:
Practice Address - Street 1:306 4TH ST STE E
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:SD
Practice Address - Zip Code:57006-1940
Practice Address - Country:US
Practice Address - Phone:605-690-7684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC7232101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health