Dyann INC

NPI #1811073034 in Matteson, Illinois

Provider Information

NPI Number: 1811073034
Entity Type: Organization
Organization Name: Dyann INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3624 W 216TH STREET
City: Matteson
State: Illinois
ZIP Code: 60443-2713
Phone: (708) 481-4080

Authorized Official

Name: MRS. DYANN K BOCKSTAHLER, MSW LCSW
Title: LICENSED CLINICAL SOCIAL WORKER PRE
Phone: (708) 481-4098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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