Provider Demographics
NPI:1578758983
Name:BARBARA P. LANYON PH.D. LTD.
Entity Type:Organization
Organization Name:BARBARA P. LANYON PH.D. LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:P
Authorized Official - Last Name:LANYON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-990-1162
Mailing Address - Street 1:4300 N MILLER RD
Mailing Address - Street 2:SUITE 218
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3619
Mailing Address - Country:US
Mailing Address - Phone:480-990-1162
Mailing Address - Fax:408-991-4374
Practice Address - Street 1:4300 N MILLER RD
Practice Address - Street 2:SUITE 218
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3619
Practice Address - Country:US
Practice Address - Phone:480-990-1162
Practice Address - Fax:480-991-9459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ433103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ26654Medicare PIN