Provider Demographics
NPI:1710319264
Name:DYER, ROY FRANCIS (LMFT)
Entity Type:Individual
Prefix:MR
First Name:ROY
Middle Name:FRANCIS
Last Name:DYER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4589 D STREET
Mailing Address - Street 2:PO BOX 36
Mailing Address - City:VINA
Mailing Address - State:CA
Mailing Address - Zip Code:96092
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4589 D STREET
Practice Address - Street 2:
Practice Address - City:VINA
Practice Address - State:CA
Practice Address - Zip Code:96092
Practice Address - Country:US
Practice Address - Phone:530-839-9885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT97257101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health