Provider Demographics
NPI:1710030390
Name:DRYER, JOY ALISON (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:ALISON
Last Name:DRYER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 REMSEN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3472
Mailing Address - Country:US
Mailing Address - Phone:917-816-8882
Mailing Address - Fax:718-643-1031
Practice Address - Street 1:92 REMSEN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3472
Practice Address - Country:US
Practice Address - Phone:917-816-8882
Practice Address - Fax:718-643-1031
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYS 007740-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY375 515OtherMVP
NY375 515OtherMVP