Provider Demographics
NPI:1801990908
Name:LYONS, JOSEPH (PSYD)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:LYONS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MIDSTATE DR STE 212
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-1856
Mailing Address - Country:US
Mailing Address - Phone:774-239-2702
Mailing Address - Fax:
Practice Address - Street 1:15 MIDSTATE DR STE 212
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-1856
Practice Address - Country:US
Practice Address - Phone:774-239-2702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7909103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical