Provider Demographics
NPI:1710436969
Name:DWYER, ROBERT (AUD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:DWYER
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VANDERBILT BILL WILKERSON CTR
Mailing Address - Street 2:MEDICAL CENTER EAST, SOUTH TOWER, 1215 21ST AVENUE SOUT
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0001
Mailing Address - Country:US
Mailing Address - Phone:615-936-8907
Mailing Address - Fax:
Practice Address - Street 1:VANDERBILT BILL WILKERSON CTR
Practice Address - Street 2:MEDICAL CENTER EAST, SOUTH TOWER, 1215 21ST AVENUE SOUT
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-936-8907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-29
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000001751231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist