| Doctor Name: | DR. STEVEN RANDALL LAWYER |
| NPI Number: | 1023287612 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | PSY202371 |
| Business Practice Address: | Idaho State University Department Of Psychology, Stop 8112 Pocatello, ID - 832098112 |
| Business Phone Number: | 2082822142 |
| Business Fax Number: | 2082824832 |
| Mailing Address: | Idaho State University, Department Of Psychology, Stop 8112 POCATELLO |
| State: | ID |
| Postal Code: | 832098112 |
| Phone Number: | 2082822142 |
| Fax Number: | 2082824832 |
| NPI Enumeration Date: | 02/27/2008 |
| NPI Last Update Date: | 02/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PSY202371 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |