Provider Demographics
NPI:1063135952
Name:KATHER DYE, SANDRA (LICSW)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:
Last Name:KATHER DYE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 LAUREL RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1403
Mailing Address - Country:US
Mailing Address - Phone:423-220-9007
Mailing Address - Fax:
Practice Address - Street 1:1829 LAUREL RD
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1403
Practice Address - Country:US
Practice Address - Phone:423-220-9007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4108C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4108COtherTHE STATE OF ALABAMA BOARD OF SOCIAL WORK EXAMINERS