Provider Demographics
NPI:1578544813
Name:KAYE, BRYCE WILLIAM (PHD)
Entity Type:Individual
Prefix:DR
First Name:BRYCE
Middle Name:WILLIAM
Last Name:KAYE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 WALNUT ST
Mailing Address - Street 2:SUITE 275
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511
Mailing Address - Country:US
Mailing Address - Phone:919-467-1180
Mailing Address - Fax:919-467-1712
Practice Address - Street 1:875 WALNUT ST
Practice Address - Street 2:SUITE 220
Practice Address - City:CARY
Practice Address - State:NY
Practice Address - Zip Code:27511
Practice Address - Country:US
Practice Address - Phone:919-467-1180
Practice Address - Fax:919-467-1712
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC642103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC04001OtherBCBS