Provider Demographics
NPI:1265298236
Name:DYAD PLLC
Entity type:Organization
Organization Name:DYAD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-306-2953
Mailing Address - Street 1:2844 LIVERNOIS RD UNIT 1259
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48099-7749
Mailing Address - Country:US
Mailing Address - Phone:413-306-2953
Mailing Address - Fax:
Practice Address - Street 1:1898 LYSTER LN
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-1418
Practice Address - Country:US
Practice Address - Phone:413-306-2953
Practice Address - Fax:248-286-6637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty