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NPI Code Detail

MEDICARE: JAMES DOUGLAS LAWSON M.A., CAS, NCSP

MEDICARE: JAMES DOUGLAS LAWSON M.A., CAS, NCSP
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
1103TS0200XSchool PsychologistCER-81417-G4B0B6MD

General Provider Information

NPI Number : 1619218351
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES DOUGLAS LAWSON M.A., CAS, NCSP
Provider Business Mailing Address
First Line : 841 AMHERST LN
Second Line :
City : WESTMINSTER
State : MD
Zip : 21158-4350
Country : US
Telephone Number : 410-458-7739
Fax Number :
Provider Business Practice Location Address
First Line : 125 N COURT ST
Second Line :
City : WESTMINSTER
State : MD
Zip : 21157-5192
Country : US
Telephone Number : 410-751-3109
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2013
Last Update Date : 11/08/2024

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