Individual
EMILY LYFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
17300 E MULE DEER DR, SPRING VALLEY, AZ 86333-4218
(928) 642-1007
(928) 632-4005
Mailing address
PO BOX 1059, MAYER, AZ 86333-1059
(928) 642-1007
(928) 632-4005
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3778980
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
563454
—
AZ
Enumeration date
11/18/2010
Last updated
11/18/2010
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