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NPI Code Detail

MEDICARE: CALLIE MARIE DYER

MEDICARE: CALLIE MARIE DYER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1083251938
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALLIE MARIE DYER
Provider Business Mailing Address
First Line : 112 S PITT ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-3112
Country : US
Telephone Number : 703-278-2902
Fax Number :
Provider Business Practice Location Address
First Line : 112 S PITT ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-3112
Country : US
Telephone Number : 703-278-2902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2019
Last Update Date : 03/29/2021

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Directions to “ CALLIE MARIE DYER ” Practice Location

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