Provider Demographics
NPI:1972700920
Name:VYE, CHRISTOPHER SCOTT (PHD, LP)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SCOTT
Last Name:VYE
Suffix:
Gender:M
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1767 HIGHLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-2116
Mailing Address - Country:US
Mailing Address - Phone:952-854-2622
Mailing Address - Fax:952-854-3293
Practice Address - Street 1:900 AMERICAN BLVD E
Practice Address - Street 2:SUITE 201
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-1392
Practice Address - Country:US
Practice Address - Phone:952-854-2622
Practice Address - Fax:952-854-3293
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP 2051103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical