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NPI Code Detail

MEDICARE: MARIAH FAITH DWYER

MEDICARE: MARIAH FAITH DWYER
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 : 1598629875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAH FAITH DWYER
Provider Business Mailing Address
First Line : 2425 HIGHLAND AVE
Second Line :
City : FALL RIVER
State : MA
Zip : 02720-4508
Country : US
Telephone Number : 508-679-8511
Fax Number : 508-672-2558
Provider Business Practice Location Address
First Line : 2425 HIGHLAND AVE
Second Line :
City : FALL RIVER
State : MA
Zip : 02720-4508
Country : US
Telephone Number : 508-679-8511
Fax Number : 508-672-2558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ MARIAH FAITH DWYER ” Practice Location

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