MR. JOHN GORDIAN DWYER L.M.H.C C.A.P. NPI 1588036693

NPI Information

NPI: 1588036693
Provider Name: MR. JOHN GORDIAN DWYER, L.M.H.C,, C.A.P.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3309 W WATERS AVE STE A
TAMPA, FL
ZIP 33614
Phone: (813) 898-0014
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MR. John Gordian Dwyer, L.M.H.C,, C.A.P. is a mental health counselor in Tampa, FL. MR. John Gordian Dwyer, L.M.H.C,, C.A.P. NPI is 1588036693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3309 W WATERS AVE STE A
TAMPA, FL
ZIP 33614-766
Phone: (813) 898-0014
Fax: (813) 898-0015

The enumeration date for this NPI number is 10/28/2015 and was last updated on 7/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH1729	FLORIDA	Yes
2	104100000X	Social Worker		MH1729	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	017535600	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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