Basic Information
| Provider Information | |||||||||
| NPI: | 1770680175 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DYER | ||||||||
| FirstName: | REBECCA | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3911 SOUTHERN OAKS DR UNIT 3 | ||||||||
| Address2: | |||||||||
| City: | FAYETTEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283140997 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9106430729 | ||||||||
| FaxNumber: | 9106431113 | ||||||||
| Practice Location | |||||||||
| Address1: | 2817 REILLY ROAD | ||||||||
| Address2: | BUILDING 4-2817 | ||||||||
| City: | FORT BRAGG | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28317 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9106430729 | ||||||||
| FaxNumber: | 9106431113 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 31104 | TX | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.