Provider Demographics
NPI:1912346396
Name:DYE, LINDSAY PAIGE (MA)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:PAIGE
Last Name:DYE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:LINDSAY
Other - Middle Name:PAIGE
Other - Last Name:QUOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:5062 SMITTY DR
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-8009
Mailing Address - Country:US
Mailing Address - Phone:509-432-5030
Mailing Address - Fax:
Practice Address - Street 1:5219 W CLEARWATER AVE STE 10B
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-1980
Practice Address - Country:US
Practice Address - Phone:509-378-7753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60587121101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health