Provider Demographics
NPI:1023059979
Name:DREYER, SCOTT A (PSYD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:A
Last Name:DREYER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 CHART RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-6700
Mailing Address - Country:US
Mailing Address - Phone:843-367-1014
Mailing Address - Fax:
Practice Address - Street 1:1180 SAM RITTENBERG BLVD
Practice Address - Street 2:SUITE #251
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3382
Practice Address - Country:US
Practice Address - Phone:843-367-1014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC837103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical