Sandra Lyness III

Psychologist · Bloomfield, MI

Individual Active NPI

NPI number 1053497636

Practice location

4252 Stoneleigh Rd
Bloomfield, MI 48302-2022
Phone
(248) 645-0299

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NPI record

NPI
1053497636
Entity type
Individual (Type 1)
Enumeration date
October 27, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 6301000746 MI

About Sandra Lyness

Sandra Lyness III is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 4252 Stoneleigh Rd, Bloomfield, MI 48302-2022. The NPI number 1053497636 was assigned on October 27, 2006 and the record was last updated on July 8, 2007.

Sandra Lyness lists a license in the registry: #6301000746 (MI) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sandra Lyness III?

The NPI number is 1053497636.

What is the phone number of Sandra Lyness?

The phone number listed for the practice location is (248) 645-0299.

Where is Sandra Lyness located?

4252 Stoneleigh Rd, Bloomfield, MI 48302-2022.

What is the taxonomy code for Sandra Lyness?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.