Kimberly K Dyer, PPC
Individual provider Active NPI Mental Health Counselor · Wheatland, WY
NPI 1164709697 · NPPES record last updated Nov 11, 2011
Key facts
- NPI
- 1164709697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- PPC-575 (WY)
- Practice address
- 1560 Johnston St
Suite E
Wheatland, WY 82201-3216 - Phone
- (307) 322-3346
- NPI assigned
- Nov 11, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PPC-575 | WY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PPC-575 | WY | Yes |
Addresses
Primary practice location
1560 Johnston St
Suite E
Wheatland, WY 82201-3216
Mailing address
1560 Johnston St
Suite E
Wheatland, WY 82201-3216
Phone (307) 322-3346
Other providers in Wheatland, WY
- David Dingman
- Kelsey Dooley
- Lyndsie Sue Drescher
- Nicole Drescher
- Susan Lynn Ducheneaux
- Eastern Wyoming Ambulance Service, Inc.
- Heaven Elsom
- Empower You LLC
- Ian Jeremy Engling
- Elizabeth Quinn Evans
All providers in Wheatland, WY · Mental Health Counselor in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.