Deborah Lee Lyon, DDS MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF79810 Issued in CA

Practice address

1022 Mill St
San Luis Obispo, CA 93401-2784

Phone

(805) 441-6051

Fax

(805) 595-7885

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1770515470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 SEE CANYON RD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934058008",
            "telephone_number": "805-543-6050",
            "fax_number": "805-595-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 MILL ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012784",
            "telephone_number": "805-441-6051",
            "fax_number": "805-595-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "DEBORAH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS  MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF79810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Lykins
• Velta-Nicole Lyn
• Holly Michele Lynch, BSN,RN,PHN
• Maureen Lynch, RBT
• Michelle Lynn Lynch
• Kristopher Lyon, M.D.
• Nicole Joanne Lyons
• M K Larson Audiology Inc
• Corinna Chelsea Ma, DMD
• Kristine Maas, OTR/L

• Marriage & Family Therapist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.