Healthcare Provider Details

I. General information

NPI: 1801779699
Provider Name (Legal Business Name): HANNAH GRAY LAWMAN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 ESTERBROOK LN
CHERRY HILL NJ
08003-4013
US

IV. Provider business mailing address

207 BERRY LN
MEDIA PA
19063-1906
US

V. Phone/Fax

Practice location:
  • Phone: 856-485-9965
  • Fax:
Mailing address:
  • Phone: 423-304-8689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License NumberPS017790
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: