Individual
MS. TERRY LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1403 PLAZA SONADA NW, ALBUQUERQUE, NM 87107-3252
(505) 345-4902
Mailing address
1403 PLAZA SONADA NW, ALBUQUERQUE, NM 87107-3252
(505) 345-4902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1083
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H2856
—
NM
Enumeration date
08/31/2006
Last updated
07/08/2007
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