Lyons, Timothy

Lyons, Timothy is an individual health care provider with primary practice located at 3749 Sudbury Rd , Cameron Park CA 95682-8613. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lyons, Timothy can be contacted via phone (209) 418-4822.

Contact Information

Primary practice address
3749 Sudbury Rd Cameron Park CA 95682-8613
Phone: (209) 418-4822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 34809 California

Profile Details

NPI number 1235683954
LBN Legal business name Lyons, Timothy
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2016
Last updated Jan 22nd, 2024 - about 10 months 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 1235683954 NPPES
California MEDICAID 1235683954

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