MEDICARE: DR. LAWRENCE H PICK PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	016081-1	NY

General Provider Information

NPI Number	:	1609945641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE H PICK PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 7440
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22207-0440
Country	:	US
Telephone Number	:	646-299-6982
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 CONNECTICUT AVE NW STE 238
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20008-2531
Country	:	US
Telephone Number	:	202-808-3989
Fax Number	:	202-888-6276

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	07/01/2020

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