Provider Demographics
NPI:1295005288
Name:DYE, MARIE E (RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:E
Last Name:DYE
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 CLARK CT
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-6540
Mailing Address - Country:US
Mailing Address - Phone:302-531-0418
Mailing Address - Fax:
Practice Address - Street 1:239 OLD NORTH RD
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:DE
Practice Address - Zip Code:19934-1241
Practice Address - Country:US
Practice Address - Phone:302-698-4280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDN-0000407133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered