Provider Demographics
NPI:1770654923
Name:PYE, PATRICE LOUISE (PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICE
Middle Name:LOUISE
Last Name:PYE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:PATRICE
Other - Middle Name:LOUISE
Other - Last Name:MCWHERTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:2718 CASCADE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62221-8624
Mailing Address - Country:US
Mailing Address - Phone:618-531-0633
Mailing Address - Fax:
Practice Address - Street 1:401 HOLLY HILLS AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63111-2410
Practice Address - Country:US
Practice Address - Phone:314-353-5190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-006722103TC0700X
MO2003030087103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical