Doctor Name: | MS. MARY LOU LYON |
NPI Number: | 1023158714 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | LC1509 |
Business Practice Address: | 6723 Whittier Ave Suite 406 Mc Lean, VA - 221014522 |
Business Phone Number: | 7039636301 |
Business Fax Number: | |
Mailing Address: | 6723 Whittier Ave, Suite 406 MC LEAN |
State: | VA |
Postal Code: | 221014522 |
Phone Number: | 7039636301 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 01/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC1509 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |