Provider Demographics
NPI:1144430869
Name:DYE, LYNN LOUISE (MSW)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:LOUISE
Last Name:DYE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 GRAVELIE DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-7846
Mailing Address - Country:US
Mailing Address - Phone:317-881-9360
Mailing Address - Fax:317-780-4408
Practice Address - Street 1:3505 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-3718
Practice Address - Country:US
Practice Address - Phone:317-920-5900
Practice Address - Fax:317-920-5911
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34000875A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical