Lyon, Diane Reid

Lyon, Diane Reid is an sole proprietor health care provider with primary practice located at 325 Matthews Mint Hill Rd Suite 104, Matthews NC 28105-2816. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lyon, Diane Reid can be contacted via phone (704) 635-6274.

Contact Information

Primary practice address
325 Matthews Mint Hill Rd Suite 104 Matthews NC 28105-2816
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2212 North Carolina

Profile Details

NPI number 1992768865
LBN Legal business name Lyon, Diane Reid
Credentials M.A., L.P.C., N.C.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2006
Last updated Feb 5th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992768865 NPPES
North Carolina Other 1023R BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 6102906 BLUE CROSS BLUE SHIELD

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