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
Phone: (704) 635-6274
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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