Roy Francis Dyer, LMFT
Individual provider Active NPI Mental Health Counselor · Vina, CA
NPI 1710319264 · NPPES record last updated Apr 26, 2018
Key facts
- NPI
- 1710319264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LMFT97257 (CA)
- Practice address
- 4589 D Street
Vina, CA 96092 - Phone
- (530) 839-9885
- NPI assigned
- Aug 7, 2013
- Sex
- Male
- 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 |
|---|---|---|---|
| LMFT97257 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMFT97257 | CA | Yes |
Addresses
Primary practice location
4589 D Street
Vina, CA 96092
Mailing address
4589 D Street
PO Box 36
Vina, CA 96092
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2018. 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.