Healthcare Provider Details

I. General information

NPI: 1841528684
Provider Name (Legal Business Name): ELISABETH MARTIN LAWSON M.ED. CCC/SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELISABETH KATHRYN LAWSON MED. CCC/SLP

II. Dates (important events)

Enumeration Date: 12/04/2009
Last Update Date: 12/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 NEFF AVE.
HARRISONBURG VA
22801
US

IV. Provider business mailing address

328 NEFF AVE.
HARRISONBURG VA
22801
US

V. Phone/Fax

Practice location:
  • Phone: 540-437-4226
  • Fax: 540-437-4227
Mailing address:
  • Phone: 540-437-4226
  • Fax: 540-437-4227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202005762
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: