Individual
AMY LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 551-2100
Mailing address
6206 WELLESLEY DR, WEST BLOOMFIELD, MI 48322-2370
(248) 515-3092
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002653
MI
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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