Sandra Lyness Iii, is a
Psychologist based in Bloomfield, Michigan. Sandra Lyness Iii is licensed to practice in Michigan (license number 6301000746) and her current practice location is
4252 Stoneleigh Rd, Bloomfield, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 645-0299.
NPI number for Sandra Lyness Iii is 1053497636 and her current mailing address is 4252 Stoneleigh Rd, Bloomfield, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053497636.
Healthcare Provider's Profile
Full Name | Sandra Lyness Iii |
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Gender | Female |
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Speciality | Psychologist |
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Location | 4252 Stoneleigh Rd, Bloomfield, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053497636
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Sandra Lyness Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053497636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 6301000746 (Michigan) | 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. Sandra Lyness Iii 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 |
Sandra Lyness Iii, 4252 Stoneleigh Rd, Bloomfield, MI 48302-2022 Ph: (248) 645-0299 | Sandra Lyness Iii, 4252 Stoneleigh Rd, Bloomfield, MI 48302-2022 Ph: (248) 645-0299 |
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