Sandra Lyness III
NPI #1053497636 in Bloomfield, Michigan
Provider Information
- NPI Number
- 1053497636
- Entity Type
- Individual
- Name
- Sandra Lyness III
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4252 STONELEIGH RD
- City
- Bloomfield
- State
- Michigan
- ZIP Code
- 48302-2022
- Phone
- (248) 645-0299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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