National Provider Identifier

James Richard Dyckman, MASTERS

James Richard Dyckman, MASTERS is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 833-3622.

NPI 1164699609Buffalo, NYMental Health Counselor

Profile Overview

NPI
1164699609
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
May 14, 2008
Last Updated
May 14, 2008

Practice Location

  • 94 Wingate Ave
  • Buffalo, NY 14216-2508

Phone: (716) 833-3622

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1164699609
Entity Type
Individual
Last Name
Dyckman
First Name
James
Middle Name
Richard
Name Prefix
Mr.
Credential
MASTERS
Mailing Street Address
94 Wingate Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-2508
Mailing Country
US
Practice Street Address
94 Wingate Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14216-2508
Practice Country
US
Practice Phone
(716) 833-3622
Enumeration Date
May 14, 2008
Last Updated
May 14, 2008
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)