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General NPI Number Information
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NPI Number | 1972327591
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Entity Type | Individual
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Provider Name | ARIADNE A LYON PHD
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Gender | Female
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 1726 FILLMORE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3130
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Country | US
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Telephone | 415-323-0287
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Fax |
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Provider Business Mailing Address
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Address Line | 1395 LYON ST APT 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3333
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Country | US
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Telephone | 323-326-0083
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35473
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License Number State | CA
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