Provider Demographics
NPI:1487202594
Name:DYSON, JOSEPH C SR (PHD, NCC, LPC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:C
Last Name:DYSON
Suffix:SR
Gender:M
Credentials:PHD, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 GOV. NICHOLLS STREET
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70116
Mailing Address - Country:US
Mailing Address - Phone:504-427-6999
Mailing Address - Fax:504-525-0857
Practice Address - Street 1:1325 GOVERNOR NICHOLLS ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70116-2323
Practice Address - Country:US
Practice Address - Phone:504-427-6999
Practice Address - Fax:504-525-0857
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-01
Last Update Date:2019-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6141101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health