Individual
BRIGID VILARDO LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
415 N FRENCH RD, AMHERST, NY 14228-2008
(716) 799-8526
Mailing address
415 N FRENCH RD, AMHERST, NY 14228-2008
(716) 799-8526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9704
NE
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
020747
NY
174400000X
Specialist
P91196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025287200
—
NE
Enumeration date
07/06/2012
Last updated
09/17/2015
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