Doctor Name: | MR. JAMES L DYER |
NPI Number: | 1043319593 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMSW |
License Number: | 20160 |
Business Practice Address: | 7714 Number Three Rd Lowville, NY - 133673521 |
Business Phone Number: | 3153765958 |
Business Fax Number: | 3133765953 |
Mailing Address: | 5504 Partridgeville Road, P.o. Box 247 BRANTINGHAM |
State: | NY |
Postal Code: | 13312 |
Phone Number: | 3152484145 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 20160 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |