Individual ProviderJudith LyonsPsychologistBehavioral Health & Social Service ProvidersPractice Address1500 E. Woodrow Wilson Drive, Va-Trp (116a2), Jackson, MS 39216-5199(601) 364-1224PECOS EnrollmentBased on the most recent information from CMS, provider Judith Lyons does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1437262375Provider TypeIndividualFull NameLyons, JudithTitleDr.CredentialPH.D.GenderFemaleSole ProprietorYesEnumeration Date8/16/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1500 E. Woodrow Wilson Drive, Va-Trp (116a2), Jackson, MS 39216-5199Phone(601) 364-1224Fax(601) 368-3875Mailing LocationMailing AddressPO Box 55631, Jackson, MS 39296-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense27 382Mississippi