Provider Demographics
NPI:1518328517
Name:LYMAN, DOROTHY KEMPER (LCSW)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:KEMPER
Last Name:LYMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:LYMAN
Other - Last Name:REDFEARN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:303 HOMESTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3706
Mailing Address - Country:US
Mailing Address - Phone:504-914-8609
Mailing Address - Fax:
Practice Address - Street 1:303 HOMESTEAD AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-3706
Practice Address - Country:US
Practice Address - Phone:504-914-8609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-17
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA59191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical