Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 61462 | TX |
NPI | 1003021429 |
---|---|
Provider Name | Mrs. Ashley Nicole Dye |
First Address | Richardson, TX 75080-2516 |
Second Address | Dallas, TX 75228-6827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 04/01/2008 |