Provider Demographics
NPI:1457819088
Name:LYONS, ALEXANDRA PERRY (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:PERRY
Last Name:LYONS
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 1:265 WINN ST STE 304
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-2634
Mailing Address - Country:US
Mailing Address - Phone:781-365-0316
Mailing Address - Fax:
Practice Address - Street 1:265 WINN ST STE 304
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-2634
Practice Address - Country:US
Practice Address - Phone:781-365-0316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-02
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76960235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist