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Individual

DR. JAMES M LYALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
4041 BATTON ST NW, SUITE 108, N CANTON, OH 44720
(330) 305-9860
(330) 433-0094
Mailing address
6475 FRIARWOOD CIRCLE NW, CANTON, OH 44718
(330) 305-9860
(330) 433-0094

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2768
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0405467
OH
Enumeration date
09/14/2006
Last updated
07/08/2007
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