| Doctor Name: | MANDY SUE KOLB LYONS |
| NPI Number: | 1386005171 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSW, MS |
| License Number: | |
| Business Practice Address: | 405 Silver Maple Ct Mount Wolf, PA - 173479803 |
| Business Phone Number: | 7174950136 |
| Business Fax Number: | |
| Mailing Address: | 405 Silver Maple Ct, MOUNT WOLF |
| State: | PA |
| Postal Code: | 173479803 |
| Phone Number: | 7174950136 |
| Fax Number: | |
| NPI Enumeration Date: | 03/08/2016 |
| NPI Last Update Date: | 03/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TM1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
| Taxonomy Definition: | |