Healthcare Provider Details

I. General information

NPI: 1497706022
Provider Name (Legal Business Name): MEGAN CHRISTINA LYONS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 HOWARD AVE YALE PHYSICIANS BLDG
NEW HAVEN CT
06519-1369
US

IV. Provider business mailing address

300 GEORGE ST PO BOX 9805
NEW HAVEN CT
06511-6624
US

V. Phone/Fax

Practice location:
  • Phone: 203-785-2140
  • Fax: 203-785-6414
Mailing address:
  • Phone: 203-785-7998
  • Fax: 203-785-6414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number18.004255
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: