Healthcare Provider Details

I. General information

NPI: 1205692092
Provider Name (Legal Business Name): ANDREW DYER LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2024
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 FLORAL VALE BLVD
YARDLEY PA
19067-5522
US

IV. Provider business mailing address

318 57TH ST
PITTSBURGH PA
15201-2304
US

V. Phone/Fax

Practice location:
  • Phone: 855-765-6399
  • Fax:
Mailing address:
  • Phone: 412-432-6616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: