Provider Demographics
NPI:1891920963
Name:LYONS, LINDA LOUISE (LPC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:LOUISE
Last Name:LYONS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 PROSPECT AVE
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18505-3366
Mailing Address - Country:US
Mailing Address - Phone:570-344-4234
Mailing Address - Fax:570-344-7332
Practice Address - Street 1:409 PROSPECT AVE
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505-3366
Practice Address - Country:US
Practice Address - Phone:570-344-4234
Practice Address - Fax:570-344-7332
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002350101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional