Individual
DWIGHT S MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1401 RICHARDSON ST, BALTIMORE, MD 21230-5321
(607) 379-3050
Mailing address
1401 RICHARDSON ST, BALTIMORE, MD 21230-5321
(607) 379-3050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
28878
MD
103TC1900X
Counseling Psychologist
Primary
R0598381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01079267
—
NY
Enumeration date
10/12/2006
Last updated
02/09/2023
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