Amanda D Dyer, PHD, Inc.

Key facts

NPI

1649443003

Entity type

Organization (NPI type 2)

Primary specialty

Cognitive & Behavioral Psychologist 103TB0200X

License

3109 (GA)

Legal business name

AMANDA D DYER, PHD, INC.

Practice address

485 Huntington Rd
Suite 200
Athens, GA 30606-1861

Phone

(706) 546-8440

Fax

(706) 546-8456

NPI assigned

Apr 8, 2008

Organization subpart

No

Authorized official

Name

Dr. Amanda D Dyer, PH.D. NPI 1598957557

Title

Owner

Phone

(706) 548-8440

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Dix Dyer, PH.D. Psychologist · Watkinsville, GA · NPI 1598957557
  NPD (past) Authorized official

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 20, 2008.

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1649443003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD",
            "address_2": "SUITE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061861",
            "telephone_number": "706-546-8440",
            "fax_number": "706-546-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD",
            "address_2": "SUITE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061861",
            "telephone_number": "706-546-8440",
            "fax_number": "706-546-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA D DYER, PHD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-548-8440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "3109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "665405441A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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