Provider Demographics
NPI:1225374796
Name:KAYE, LILLIAN B (PHD)
Entity Type:Individual
Prefix:DR
First Name:LILLIAN
Middle Name:B
Last Name:KAYE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LILY
Other - Middle Name:
Other - Last Name:KAYE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:618 MCDONNELL DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32310-4808
Mailing Address - Country:US
Mailing Address - Phone:352-871-1340
Mailing Address - Fax:
Practice Address - Street 1:618 MCDONNELL DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32310-4808
Practice Address - Country:US
Practice Address - Phone:352-871-1340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000992103T00000X
FLPY10406103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist