# DYER PSYCHIATRIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689318206
- **Authorized official:** KALA DUHON (CREDENTIALING MANAGER)
- **Authorized official phone:** (337) 422-6731

## Contact information

- **Practice address:** 748 BAYOU PINES EAST DR STE C, LAKE CHARLES, LA 70601-7596
- **Practice address phone:** (337) 422-6731
- **Mailing address:** 748 BAYOU PINES EAST DR STE C, LAKE CHARLES, LA 70601-7596
- **Mailing address phone:** (337) 422-6731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2022
- **Last updated:** 01/25/2024
