MEDICARE: MS. SYLVIA JUNE DYE M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist	1290	TN

General Provider Information

NPI Number	:	1063681567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SYLVIA JUNE DYE M.A.

Provider Business Mailing Address
First Line	:	6905 HIGHLAND PARK DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-4007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6905 HIGHLAND PARK DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-4007
Country	:	US
Telephone Number	:	615-356-1464
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2008
Last Update Date	:	02/28/2008

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