Provider Demographics
NPI:1871630087
Name:DYE, JANE F (LMFT)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:F
Last Name:DYE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 N GOLFVIEW RD APT 3
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-3546
Mailing Address - Country:US
Mailing Address - Phone:561-582-2367
Mailing Address - Fax:561-582-2367
Practice Address - Street 1:1401 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-1942
Practice Address - Country:US
Practice Address - Phone:561-371-8303
Practice Address - Fax:561-582-2367
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 1693106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist