National Provider Identifier
Roger Charles Lyman, PH.D.
Roger Charles Lyman, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Canandaigua, NY and a listed phone number of (585) 393-7223.
Profile Overview
- NPI
- 1669419438
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- June 01, 2006
- Last Updated
- July 08, 2007
Practice Location
- 400 Fort Hill Ave
- 532/300/B2
- Canandaigua, NY 14424-1159
Phone: (585) 393-7223
Mailing Address
- 400 Fort Hill Ave
- 532/300/B2
- Canandaigua, NY 14424-1188
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1669419438
- Entity Type
- Individual
- Last Name
- Lyman
- First Name
- Roger
- Middle Name
- Charles
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 400 Fort Hill Ave
- Mailing Address Line 2
- 532/300/B2
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1188
- Mailing Country
- US
- Mailing Phone
- (585) 393-7223
- Mailing Fax
- (585) 393-8380
- Practice Street Address
- 400 Fort Hill Ave
- Practice Address Line 2
- 532/300/B2
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 393-7223
- Practice Fax
- (585) 393-8380
- Enumeration Date
- June 01, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)