Healthcare Provider Details

I. General information

NPI: 1396663720
Provider Name (Legal Business Name): CHLOE LYON MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 CATHEDRAL OAKS RD
SANTA BARBARA CA
93110-1042
US

IV. Provider business mailing address

2565 SOLANO RD APT A
PISMO BEACH CA
93449-1738
US

V. Phone/Fax

Practice location:
  • Phone: 805-964-4710
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number37289
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: