Individual
MRS. BETH LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
65 GERMANTOWN CT STE 417, CORDOVA, TN 38018-4259
(901) 371-0018
(901) 373-9613
Mailing address
PO BOX 269, ELLENDALE, TN 38029-0269
(901) 371-0018
(901) 373-9613
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000001171
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4076329
BCBS
TN
Enumeration date
11/21/2006
Last updated
07/09/2007
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