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General NPI Number Information
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NPI Number | 1003525619
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Entity Type | Organization
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Legal Business Name | ERIN LAWSON PSY.D. LLC
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Dates
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Enumeration Date | 11/22/2022
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 19 COACH LEE HILL BLVD
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City | STATESBORO
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State | GA
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Zip | 30458-4700
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Country | US
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Telephone | 912-388-1312
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Fax |
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Provider Business Mailing Address
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Address Line | 14401 S MILITARY TRL APT E307
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City | DELRAY BEACH
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State | FL
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Zip | 33484-3886
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Country | US
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Telephone | 912-531-8027
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. ERIN ELIZABETH LAWSON-PAWELCYZK
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Credential | PSY.D.
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Telephone | 912-531-8027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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