MEDICARE: DR. LINDA MCLEAN DYE AU.D.

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	231H00000X	Audiologist	AU917	CA

General Provider Information

NPI Number	:	1992062806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA MCLEAN DYE AU.D.

Provider Business Mailing Address
First Line	:	330 CARLSON CT
Second Line	:
City	:	VISTA
State	:	CA
Zip	:	92083-5138
Country	:	US
Telephone Number	:	760-806-7848
Fax Number	:

Provider Business Practice Location Address
First Line	:	6125 PRINTWOOD WAY
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-3346
Country	:	US
Telephone Number	:	858-496-8165
Fax Number	:	858-496-8165

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

Provider Enumeration Date	:	04/16/2012
Last Update Date	:	04/16/2012

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