Daniel Michael Dwyer, LPC | |
11166 Tesson Ferry Rd Ste 300, Saint Louis, MO 63123-6966 | |
(314) 898-0102 | |
(314) 842-2552 |
Full Name | Daniel Michael Dwyer |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 11166 Tesson Ferry Rd Ste 300, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023698982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2020043169 (Missouri) | Primary |
Entity Name | Provident Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710023791 PECOS PAC ID: 0345217279 Enrollment ID: O20050407000335 |
Mailing Address | Practice Location Address |
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Daniel Michael Dwyer, LPC 2650 Olive St, Saint Louis, MO 63103-1489 Ph: (314) 371-6500 | Daniel Michael Dwyer, LPC 11166 Tesson Ferry Rd Ste 300, Saint Louis, MO 63123-6966 Ph: (314) 898-0102 |
Ms. Shirley Ann Wells, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3309 S. Kingshighway Blvd, Family Resource Center, Saint Louis, MO 63139 Phone: 314-534-1204 | |
Mr. Eric Scott Baile, M.DIV., MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 763 S New Ballas Rd, Suite 340, Saint Louis, MO 63141 Phone: 314-872-2972 Fax: 314-872-2975 | |
William Lagrand, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9200 Watson Rd, Ste. G101, Saint Louis, MO 63126 Phone: 314-544-3800 Fax: 314-843-0552 | |
Mary Ann Williamson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7777 Bonhomme Ave, Suite 909, Saint Louis, MO 63105 Phone: 800-356-0845 | |
Erin Rachel Hendrickson, MAC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Hampton Ave, Saint Louis, MO 63139 Phone: 314-913-3691 | |
Bobby Joe Goodman, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5501 Delmar Blvd Ste B300, Saint Louis, MO 63112 Phone: 314-469-4908 | |
Andrew Bryan Conrad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10845 Olive Blvd Ste 150, Saint Louis, MO 63141 Phone: 314-561-9757 |