Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 8660 | KS |
NPI | 1003151044 |
---|---|
Provider Name | Rhonda Louise Dye |
First Address | Lawrence, KS 66044-1368 |
Second Address | Lawrence, KS 66044-1368 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2012 |
Last Update Date | 03/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1841281805 | NPI (01) | KS |