| Luann Dunn Dyer, LCPC | |
|
1210 Nw 16th St, Fruitland, ID 83619-2202 | |
| (208) 452-8700 | |
| (208) 452-8701 |
| Full Name | Luann Dunn Dyer |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1210 Nw 16th St, Fruitland, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356767131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC-5946 (Idaho) | Primary |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Luann Dunn Dyer, LCPC 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Luann Dunn Dyer, LCPC 1210 Nw 16th St, Fruitland, ID 83619-2202 Ph: (208) 452-8700 |
Nan Moss, LCPC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1509 N Whitley Dr Ste 11, Fruitland, ID 83619 Phone: 541-212-3151 Fax: 208-452-1232 | |
Ms. Donna Viola Batt, M.ED., LCPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7763 Elmore Rd, Fruitland, ID 83619 Phone: 208-452-5240 Fax: 208-452-5240 | |
Mr. Lyle Spencer Bourcy, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1303 Nw 16th St, Suite C, Fruitland, ID 83619 Phone: 208-250-0374 Fax: 208-452-2164 | |
Colleen E Gardner, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 S. Whitley Dr., Suite #2, Fruitland, ID 83610 Phone: 208-550-5063 Fax: 208-550-5063 | |
Katherine Hollie Fisher, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2035 Zach Blvd, Fruitland, ID 83619 Phone: 208-286-5950 | |
Alia Bonnie Fulleton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 S Iowa Ave, Fruitland, ID 83619 Phone: 541-249-5111 |