Doctor Name: | MR. LAWRENCE DOYLE |
NPI Number: | 1033133095 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LPC |
License Number: | 000551 |
Business Practice Address: | 595 Thompson Ave East Haven, CT - 065122934 |
Business Phone Number: | 1203468329 |
Business Fax Number: | 1203468333 |
Mailing Address: | 595 Thompson Ave, EAST HAVEN |
State: | CT |
Postal Code: | 065122934 |
Phone Number: | 1203468329 |
Fax Number: | 1203468333 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 000551 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |