Micah Dyer, AMFT, ALPCC
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Malibu, CA
NPI 1760174593 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1760174593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- PO Box 4212
Malibu, CA 90264-4212 - Phone
- (310) 663-3396
- NPI assigned
- May 22, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Yes |
Addresses
Primary practice location
PO Box 4212
Malibu, CA 90264-4212
Mailing address
PO Box 4212
Malibu, CA 90264-4212
Phone (310) 663-3396
Other providers in Malibu, CA
- Ronald M. Doctor
- Fiona Doolan
- Victor Dorodny
- Dr Dorodny Inc
- Dallas Daniel Duchnick
- Maria Dylan
- Danielle Nicole Eberle
- Educational Medical Solutions LLC
- Edwards Malibu
- Kathleen Eldridge
All providers in Malibu, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. 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.