Provider Demographics
NPI:1134876501
Name:DYER, VERONICA ISABEL (LCSW)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:ISABEL
Last Name:DYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 PINEAPPLE ST APT 2D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-1744
Mailing Address - Country:US
Mailing Address - Phone:718-594-6747
Mailing Address - Fax:
Practice Address - Street 1:59 PINEAPPLE ST APT 2D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1744
Practice Address - Country:US
Practice Address - Phone:718-594-6747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0890081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical