Organization
AMETHYST NEUROPSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH M DYER PHD (CLINICAL NEUROPSYCHOLOGIST)
(618) 680-0317
Entity
Organization
Contact information
Practice address
4505 N ILLINOIS ST STE 7, SWANSEA, IL 62226-1500
(618) 680-0317
Mailing address
4505 N ILLINOIS ST STE 7, SWANSEA, IL 62226-1500
(618) 680-0317
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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