1366650467 NPI number — MS. THERESA M. DYER LCSW-R

Table of content: MS. THERESA M. DYER LCSW-R (NPI 1366650467)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366650467 NPI number — MS. THERESA M. DYER LCSW-R

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DYER
Provider First Name:
THERESA
Provider Middle Name:
M.
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW-R
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366650467
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
177 WOODHULL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RIVERHEAD
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11901-3513
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-553-5212
Provider Business Mailing Address Fax Number:
631-939-2096

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
177 WOODHULL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RIVERHEAD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11901-3513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-553-5212
Provider Business Practice Location Address Fax Number:
631-939-2096
Provider Enumeration Date:
05/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041S0200X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: R045529-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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