Doctor Name: | MR. LARRY BERNARD SAWYER |
NPI Number: | 1043383318 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, SOTP |
License Number: | 0812000321 |
Business Practice Address: | 224 Great Bridge Blvd. Chesapeake, VA - 23320 |
Business Phone Number: | 7575479334 |
Business Fax Number: | 7578196292 |
Mailing Address: | 224 Great Bridge Blvd., CHESAPEAKE |
State: | VA |
Postal Code: | 23320 |
Phone Number: | 7575479334 |
Fax Number: | 7578196292 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 09/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0812000321 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |