Active NPIIndividual providerSole proprietor

Dr. David Lyon H Lyon, PSYD

Psychologist, Clinical Child & Adolescent in Providence, Rhode Island

NPI Number1376878496
Practice location
1086 Smith St, Providence, RI 02908-2738
Fax
401-369-9224
Last updated
October 7, 2009

David Lyon H. Lyon is a Psychologist, Clinical Child & Adolescent based in Providence, RI. David Lyon H. Lyon practices in Providence, RI and has the professional credentials of PSYD. The NPI Number for David Lyon H. Lyon is 1376878496 and holds a License No. PS00628 (RI). The current practice location address for David Lyon H. Lyon is 1086 Smith St, Providence, RI 02908-2738 and can be reached out via phone at 401-369-9224 and via fax at 401-369-9224.

Provider Profile Details

NPI Number
1376878496
Provider Name
David Lyon H. Lyon
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
1086 Smith St, Providence, RI 02908-2738
Phone Number
401-369-9224
Fax Number
401-369-9224
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
Yes
Provider Enumeration Date
October 7, 2009
Last Update Date
October 7, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1086 Smith St
Providence, RI 02908-2738
Zip
02908-2738
Phone Number
401-369-9224
Fax Number
401-369-9224
Providence, RI 02908Get directions →

Provider Business Mailing Address Details

Address
1 Stratford RD
Cranston, RI 02905-3720
City
Cranston
State
RI
Zip
02905-3720
Phone Number
401-461-8993
Fax Number
401-461-8993

License Information

License Number (1)
PS00628
License State (1)
RI
Taxonomy (1)
Psychologist, Cognitive & Behavioral · 103TB0200X
License Number (2)
PS00628
License State (2)
RI
Taxonomy (2)
Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary
License Number (3)
PS00628
License State (3)
RI
Taxonomy (3)
Psychologist, Family · 103TF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. David Lyon H Lyon, PSYD?

The NPI number of Dr. David Lyon H Lyon, PSYD is 1376878496. It was assigned on October 7, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. David Lyon H Lyon, PSYD?

Dr. David Lyon H Lyon, PSYD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in RI under license number PS00628.

Where does Dr. David Lyon H Lyon, PSYD practice?

The practice location is 1086 Smith St, Providence, RI 02908-2738. The office can be reached at 401-369-9224 (phone) or 401-369-9224 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376878496 directly on the NPPES registry website.

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