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General NPI Number Information
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NPI Number | 1649159872
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Entity Type | Organization
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Legal Business Name | HEATHER Z. LYONS, LICENSED PSYCHOLOGIST, LLC
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 9 WHIPPLE ST UNIT 10
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City | CUMBERLAND
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State | RI
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Zip | 02864-5384
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Country | US
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Telephone | 401-426-2406
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Fax |
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Provider Business Mailing Address
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Address Line | 1122 KENILWORTH DR
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City | TOWSON
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State | MD
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Zip | 21204-2139
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Country | US
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Telephone | 443-451-5122
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED PSYCHOLOGIST
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Name | HEATHER LYONS
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Credential |
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Telephone | 443-451-5122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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