Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 1290 | TN |
NPI | 1063681567 |
---|---|
Provider Name | Ms. Sylvia June Dye |
First Address | Nashville, TN 37205-4007 |
Second Address | Nashville, TN 37205-4007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2008 |
Last Update Date | 28/02/2008 |