Most Relevant Information
Provider Data
| NPI Number: | 1003516261 |
| Provider Name: | KRISTIN DYER |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: | 42855 |
Most Important Dates
| Enumeration Date: | 03/07/2023 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
1818 W WORLEY ST
COLUMBIA
MO
652031038
Practice Location Phone/Fax
| Phone: | 5732143400 |
| Fax: |
Provider Mailing Location
1818 W WORLEY ST
COLUMBIA
MO
652031038
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |