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Individual

DEBORAH SUSAN LYONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
4310 MEDICAL PKWY, SUITE 103, AUSTIN, TX 78756-3335
(512) 459-1272
(512) 459-1515
Mailing address
4310 MEDICAL PKWY, SUITE 103, AUSTIN, TX 78756-3335
(512) 459-1272
(512) 459-1515

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24557
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00L05A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/03/2006
Last updated
07/08/2007
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