Sue R. Dyrenforth, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4339 Issued in OH

Practice address

48 E Hollister St
Suite 100
Cincinnati, OH 45219-1704

Phone

(513) 236-8045

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760605893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AMAZON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452201103",
            "telephone_number": "513-861-6213",
            "fax_number": "513-861-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 E HOLLISTER ST",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191704",
            "telephone_number": "513-236-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYRENFORTH",
        "first_name": "SUE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyla Denise Dyer, MD
• Lanita Dykes, REGISTERED NURSE
• Sandra Dykes
• Christopher John Dykyj, PA-C, ATC, OTC
• Elyse Cassandra Dynlacht, DMD
• Zvisinei Dzepasi Mamutse, APRN
• E Cincinnati Inter Med
• E-ASC LLC
• E.C.O Health Care Center Inc.
• Each 1 Teach 1 Residential Services

• Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.