Provider Demographics
NPI:1477273167
Name:DYSON, DARIEN DEONNA
Entity Type:Individual
Prefix:MISS
First Name:DARIEN
Middle Name:DEONNA
Last Name:DYSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DARIEN
Other - Middle Name:DEONNA
Other - Last Name:DYSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1651 N TONTI ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-2540
Mailing Address - Country:US
Mailing Address - Phone:504-784-7161
Mailing Address - Fax:
Practice Address - Street 1:1651 N TONTI ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-2540
Practice Address - Country:US
Practice Address - Phone:504-784-7161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant