Provider Demographics
NPI:1629364062
Name:BYE, BRENDA KAY DEAL (DO)
Entity Type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:KAY DEAL
Last Name:BYE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 642302
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99164-2302
Mailing Address - Country:US
Mailing Address - Phone:509-335-3575
Mailing Address - Fax:509-335-1684
Practice Address - Street 1:WASHINGTON STATE UNIVERSITY 1125 SE WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99164
Practice Address - Country:US
Practice Address - Phone:509-335-5759
Practice Address - Fax:509-335-1684
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDO-09012084P0800X
WA607516922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry