Dyer, Rhonda Denise

Dyer, Rhonda Denise is an sole proprietor health care provider with primary practice located at 496 Shayla Ln , Canyon Lake TX 78133. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dyer, Rhonda Denise can be contacted via phone (512) 731-9704.

Contact Information

Primary practice address
496 Shayla Ln Canyon Lake TX 78133
Phone: (512) 731-9704
Fax: (866) 278-0186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 26544 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 26544 Texas

Profile Details

NPI number 1871708933
LBN Legal business name Dyer, Rhonda Denise
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2007
Last updated Jan 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871708933 NPPES
Texas MEDICAID 0713315-01

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