Provider Demographics
NPI:1598247215
Name:LYON, MARY FRANCES (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:FRANCES
Last Name:LYON
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 STONEBRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-0306
Mailing Address - Country:US
Mailing Address - Phone:817-431-5778
Mailing Address - Fax:
Practice Address - Street 1:2700 W 15TH ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7524
Practice Address - Country:US
Practice Address - Phone:469-752-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16313235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist