Individual
DR. CAROL SUE DYER
Active
Individual
DR. CAROL SUE DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY 01925
MO
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PY 01925
MO
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/10/2005
Last updated
04/29/2010
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