NPI 1003136672
Brett Tyler Dillard, BSW
Practice location
- Address
- 39 Lafayette St, Pontotoc, MS 38863-2837
- Phone
- (662) 509-6759
- Fax
- (662) 509-6761
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003136672
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Jun 2010
- Record last updated
- 7 Jun 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.