Provider Demographics
NPI:1184509697
Name:DYE JR., STEVEN
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:DYE JR.
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6111 MARSEILLES ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48224-1325
Mailing Address - Country:US
Mailing Address - Phone:313-285-0799
Mailing Address - Fax:
Practice Address - Street 1:19811 STOEPEL ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-1745
Practice Address - Country:US
Practice Address - Phone:313-494-7314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician