Individual
MS. SUSAN ELIZABETH DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
7620 METCALF AVENUE, SUITE M, OVERLAND PARK, KS 66204-2996
(913) 383-9014
(913) 383-9015
Mailing address
7620 METCALF AVENUE, SUITE M, OVERLAND PARK, KS 66204-2996
(913) 383-9014
(913) 383-9015
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1700076
KS
225XP0200X
Pediatric Occupational Therapist
OC001499
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21222019
BLUE CROSS BLUE SHIELD
MO
01
—
701215
BLUE CROSS BLUE SHIELD
KS
Enumeration date
12/15/2006
Last updated
07/08/2007
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