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NPI Code Detail

MEDICARE: MARY FRANCES LYON M.S. CCC-SLP

MEDICARE: MARY FRANCES LYON M.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist16313TX

General Provider Information

NPI Number : 1598247215
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY FRANCES LYON M.S. CCC-SLP
Provider Business Mailing Address
First Line : 170 STONEBRIDGE LN
Second Line :
City : SOUTHLAKE
State : TX
Zip : 76092-0306
Country : US
Telephone Number : 817-431-5778
Fax Number :
Provider Business Practice Location Address
First Line : 2700 W 15TH ST
Second Line :
City : PLANO
State : TX
Zip : 75075-7524
Country : US
Telephone Number : 469-752-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2018
Last Update Date : 04/22/2022

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Directions to “ MARY FRANCES LYON M.S. CCC-SLP” Practice Location

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