Individual
MONTGOMERY LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
162 MOUNTAIN RD, PRINCETON, MA 01541-1108
(844) 222-6037
Mailing address
162 MOUNTAIN RD, PRINCETON, MA 01541-1108
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023685
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2018
Last updated
10/27/2021
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