| Doctor Name: | MEREDITH LYON |
| NPI Number: | 1245476951 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 017869 |
| Business Practice Address: | 149 Ballston Ave Ballston Spa, NY - 120201946 |
| Business Phone Number: | 5188852218 |
| Business Fax Number: | 5188852221 |
| Mailing Address: | 1 Old Country Rd, Suite 271 CARLE PLACE |
| State: | NY |
| Postal Code: | 115141801 |
| Phone Number: | 8007256280 |
| Fax Number: | 8007256380 |
| NPI Enumeration Date: | 12/30/2008 |
| NPI Last Update Date: | 12/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 017869 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |