| Doctor Name: | MR. JOHN EDWARD DWYER |
| NPI Number: | 1104927953 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.I. C.S.W. |
| License Number: | 102338 |
| Business Practice Address: | 20 Tremont St Duxbury, MA - 023325310 |
| Business Phone Number: | 7819340953 |
| Business Fax Number: | |
| Mailing Address: | 91 Parting Rock Rd, DUXBURY |
| State: | MA |
| Postal Code: | 023323214 |
| Phone Number: | 7818373589 |
| Fax Number: | |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 102338 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |