Provider Demographics
NPI:1912383233
Name:LYTTON, LEE (PSYCHOLOGIST)
Entity Type:Individual
Prefix:MS
First Name:LEE
Middle Name:
Last Name:LYTTON
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 CONIFER DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-1386
Mailing Address - Country:US
Mailing Address - Phone:910-483-5884
Mailing Address - Fax:910-483-5864
Practice Address - Street 1:2537 RAEFORD RD
Practice Address - Street 2:SUITE D
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5095
Practice Address - Country:US
Practice Address - Phone:910-483-5884
Practice Address - Fax:910-483-5864
Is Sole Proprietor?:No
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2066103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling