Provider Demographics
NPI:1053571984
Name:LYON, APRIL E (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:E
Last Name:LYON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 S BLUEGRASS DR
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83686-1397
Mailing Address - Country:US
Mailing Address - Phone:208-461-4989
Mailing Address - Fax:
Practice Address - Street 1:2830 S BLUEGRASS DR
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83686-1397
Practice Address - Country:US
Practice Address - Phone:208-461-4989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDSLP-1455235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist