Timothy Robert Lyman, MA, LADC is a
Counselor - Addiction (substance Use Disorder) based in Crown Point, New York. Timothy Robert Lyman is licensed to practice in Vermont (license number 151.0125941) and his current practice location is
631 Hogback Rd, Crown Point, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 570-1097.
NPI number for Timothy Robert Lyman is 1932671096 and his current mailing address is 631 Hogback Rd, Crown Point, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932671096.
Healthcare Provider's Profile
| Full Name | Timothy Robert Lyman |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 631 Hogback Rd, Crown Point, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932671096
- Provider Enumeration Date: 12/28/2018
- Last Update Date: 12/28/2018
Medical Identifiers
Medical identifiers for Timothy Robert Lyman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932671096 | NPI | - | NPPES |
| 151.0125941 | Other | VT | OFFICE OF PROFESSIONAL REGULATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 151.0125941 (Vermont) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 151.0125941 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy Robert Lyman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Timothy Robert Lyman, MA, LADC
631 Hogback Rd,
Crown Point, NY 12928-1815
Ph: (518) 570-1097 | Timothy Robert Lyman, MA, LADC
631 Hogback Rd,
Crown Point, NY 12928-1815
Ph: (518) 570-1097 |
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