Organization
DYER PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALA DUHON (CREDENTIALING MANAGER)
(337) 422-6731
Entity
Organization
Contact information
Practice address
748 BAYOU PINES EAST DR STE C, LAKE CHARLES, LA 70601-7596
(337) 422-6731
Mailing address
748 BAYOU PINES EAST DR STE C, LAKE CHARLES, LA 70601-7596
(337) 422-6731
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
01/25/2024
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