Provider Demographics
NPI:1932691623
Name:STUDER-DYER, ALBERT LEWIS (CDCA)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:LEWIS
Last Name:STUDER-DYER
Suffix:
Gender:M
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:392 E HUSTON ST
Mailing Address - Street 2:
Mailing Address - City:BARBERTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-3048
Mailing Address - Country:US
Mailing Address - Phone:330-604-1926
Mailing Address - Fax:
Practice Address - Street 1:392 E HUSTON ST
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-3048
Practice Address - Country:US
Practice Address - Phone:330-604-1926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH167261101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)