Provider Demographics
NPI:1891322608
Name:DYER, ALLISON ARNOLD (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:ARNOLD
Last Name:DYER
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:ARNOLD
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, LCSW
Mailing Address - Street 1:813 MOUNTSHIRE TER
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-5731
Mailing Address - Country:US
Mailing Address - Phone:804-432-0056
Mailing Address - Fax:
Practice Address - Street 1:7949 HALYARD TER
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-2599
Practice Address - Country:US
Practice Address - Phone:804-432-0056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040053031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical