Doctor Name: | MRS. KRISTI-LEIGH LYON |
NPI Number: | 1598737934 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.CCC SLP |
License Number: | SA7636 |
Business Practice Address: | 21727 Belvedere Lane Estero, FL - 339287339 |
Business Phone Number: | 2392531290 |
Business Fax Number: | 2392210476 |
Mailing Address: | 21727 Belvedere Lane, ESTERO |
State: | FL |
Postal Code: | 339287339 |
Phone Number: | 2392531290 |
Fax Number: | 2392210476 |
NPI Enumeration Date: | 02/01/2006 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA7636 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |