Provider Demographics
NPI:1003973199
Name:LYONS, DIXIE LEE (MA)
Entity Type:Individual
Prefix:MS
First Name:DIXIE
Middle Name:LEE
Last Name:LYONS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01506-1653
Mailing Address - Country:US
Mailing Address - Phone:508-335-3066
Mailing Address - Fax:
Practice Address - Street 1:19 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:MA
Practice Address - Zip Code:01506-1653
Practice Address - Country:US
Practice Address - Phone:508-335-3066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2009-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor