Individual provider · Type 1 NPI

Shane Michael Dyer

Peer Specialist · Lawton, OK

NPI number 1992512800 Active

Practice location

1320 NW Homestead Dt Ste G
Lawton, OK 73505

Call (714) 477-4605 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1992512800

Shane Michael Dyer's National Provider Identifier is 1992512800, issued on Dec 13, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lawton, OK. The record was last updated on Dec 13, 2024.