Healthcare Provider Details

I. General information

NPI: 1013985993
Provider Name (Legal Business Name): LAWRENCE SCOTT ABRAMS PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 TURNPIKE ST SUITE 105
CANTON MA
02021-2357
US

IV. Provider business mailing address

275 TURNPIKE ST SUITE 105
CANTON MA
02021-2357
US

V. Phone/Fax

Practice location:
  • Phone: 781-575-0252
  • Fax: 781-821-1743
Mailing address:
  • Phone: 781-575-0252
  • Fax: 781-821-1743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4584
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: