Provider Demographics
NPI:1396863106
Name:LYONS, FRANCES MARIE (PHD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:MARIE
Last Name:LYONS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:FRAN
Other - Middle Name:
Other - Last Name:LYONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:745 FORT STREET
Mailing Address - Street 2:STE 330
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813
Mailing Address - Country:US
Mailing Address - Phone:808-585-7471
Mailing Address - Fax:808-593-1033
Practice Address - Street 1:745 FORT ST
Practice Address - Street 2:STE 330
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-585-7471
Practice Address - Fax:808-593-1033
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI309103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000019059OtherQUEST
HI19059OtherHMSA