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NPI Code Detail

MEDICARE: JOSEPH EDWARD DREYER LCSW

MEDICARE: JOSEPH EDWARD DREYER LCSW
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
11041C0700XClinical Social WorkerLCS23042CA

General Provider Information

NPI Number : 1144382409
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH EDWARD DREYER LCSW
Provider Business Mailing Address
First Line : 140 ARBOR DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-2007
Country : US
Telephone Number : 619-252-9396
Fax Number :
Provider Business Practice Location Address
First Line : 140 ARBOR DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-2007
Country : US
Telephone Number : 619-299-3510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 01/26/2010

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Directions to “ JOSEPH EDWARD DREYER LCSW” Practice Location

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