MRS. SHELLY MARIE DYER


Address: 1096 Ohio St, Bangor, ME 04401-2850
Phone: 2074784360

MRS. SHELLY MARIE DYER (NPI# 1467768952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467768952
Entity Type Individual
Full Name MRS. SHELLY MARIE DYER
Credential LCPC-CC
Practice Address 1096 Ohio St
Bangor
ME 04401-2850
Mailing Address 1096 Ohio Street
Bangor
ME 04402-2763
Practice Telephone 2074784360
Mailing Telephone 2074784360
Enumeration Date 2010-08-23
Last Update Date 2013-05-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
XL4006 ME Behavioral Health & Social Service Providers

Office Location

Street Address 1096 OHIO ST
City BANGOR
State ME
Zip Code 04401-2850

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1770104358 Elizabeth Sarah Caruson Physician Assistant 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 2020-05-05
1053961300 Erika Dean Occupational Therapist 84 Sylvan Rd., Bangor, ME 04401 2019-09-18
1942853635 Wildworks Therapy, Pllc Occupational Therapist 123 Mt Hope Ave, Bangor, ME 04401 2019-07-22
1255999173 Jessica Arbisi Physician Assistant 1 Northeast Drive, Bangor, ME 04401 2019-06-05
1699232041 Ehab Khamis Elhefnawi Anesthesiology Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 2019-02-21
1477028884 Zvorufura Makura Otolaryngology 885 Union Street, Ste 145, Bangor, ME 04401 2018-10-11
1255826541 Lindsey M Fields Optometrist 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 2018-06-28
1992211338 Debra J Mcintyre Counselor 157 Park Street, #5, Bangor, ME 04401 2017-12-21
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992211338 Debra J Mcintyre Counselor 157 Park Street, #5, Bangor, ME 04401 2017-12-21
1427419555 Jennifer Rose Morris Counselor 11 Cumberland Street, Apt. 2, Bangor, ME 04401 2016-03-17
1528462926 Linda A Cousens Counselor 61 Main St Ste 43, Bangor, ME 04401-6397 2014-10-14
1952694564 Lillian Ann Williams Counselor 157 Park St Ste 35, Bangor, ME 04401-5094 2011-05-16
1144530908 Charlee M Kent Counselor 179 Indiana Ave, Bangor, ME 04401-4365 2010-10-14
1851611388 Dawn Levasseur Counselor 116 Hammond St Ste 1, Bangor, ME 04401-4915 2010-06-07
1578892220 Peter Osberg Counselor 268 Stillwater Ave., Acadia Hospital Corp., Bangor, ME 04401 2009-12-09
1083820047 Joanna Leslie Campbell Counselor 20 Labarca Ln, Bangor, ME 04401-2645 2007-05-15
1649390915 Maynard L Jalbert Counselor 157 Park St Ste 22, Bangor, ME 04401-5094 2007-03-30
1528191376 Heather Lynn Bass Counselor 52 Columbia St, Bangor, ME 04401-6317 2007-03-13
Find all providers in BANGOR

Competitor

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City BANGOR
Zip Code 04401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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