Provider Demographics
NPI:1326600883
Name:DREYER, LESLEY SHIGANO (MSW)
Entity Type:Individual
Prefix:MRS
First Name:LESLEY
Middle Name:SHIGANO
Last Name:DREYER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 BIRCH HILL DR
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-6124
Mailing Address - Country:US
Mailing Address - Phone:734-341-8930
Mailing Address - Fax:
Practice Address - Street 1:5 BOCES RD
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-6565
Practice Address - Country:US
Practice Address - Phone:845-486-8004
Practice Address - Fax:845-486-8044
Is Sole Proprietor?:No
Enumeration Date:2019-07-05
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical