Doctor Name: | MRS. IMMACOLATA DREYER |
NPI Number: | 1003989096 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | R0438651 |
Business Practice Address: | 531 Center Rd West Seneca, NY - 142242129 |
Business Phone Number: | 7164300703 |
Business Fax Number: | 7167209352 |
Mailing Address: | 81 Keever Ave, BUFFALO |
State: | NY |
Postal Code: | 142183525 |
Phone Number: | 7168221900 |
Fax Number: | 7167209352 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R0438651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |