Individual
DR. DAVID LYON H. LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1086 SMITH ST, PROVIDENCE, RI 02908-2738
(401) 369-9224
(401) 369-9224
Mailing address
1 STRATFORD RD, CRANSTON, RI 02905-3720
(401) 461-8993
(401) 461-8993
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PS00628
RI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS00628
RI
103TF0000X
Family Psychologist
PS00628
RI
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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