Individual
DEBORAH DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1150 S. FOREST AVE SSV 334, TEMPE, AZ 85287
(480) 965-6147
(480) 965-3426
Mailing address
PO BOX 168007, IRVING, TX 75016-8007
(469) 735-4555
(469) 735-4640
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3513
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134426
—
AZ
Enumeration date
06/15/2006
Last updated
10/08/2010
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