Provider Demographics
NPI:1538908231
Name:DRYER, GWENDOLYN (MA)
Entity type:Individual
Prefix:
First Name:GWENDOLYN
Middle Name:
Last Name:DRYER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:TYSON
Other - Middle Name:
Other - Last Name:DRYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:515 FREMONT ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15209-2321
Mailing Address - Country:US
Mailing Address - Phone:724-734-7127
Mailing Address - Fax:
Practice Address - Street 1:5301 BUTLER ST STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-2658
Practice Address - Country:US
Practice Address - Phone:412-441-9786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health