| Doctor Name: | DR. LAWRENCE ANDREW RESNICK |
| NPI Number: | 1063556561 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 35SI00271700 |
| Business Practice Address: | 611 N Maple Ave Suite 9 Ho Ho Kus, NJ - 074231668 |
| Business Phone Number: | 2016706022 |
| Business Fax Number: | 2012519595 |
| Mailing Address: | 611 N Maple Ave, Suite 9 HO HO KUS |
| State: | NJ |
| Postal Code: | 074231668 |
| Phone Number: | 2016706022 |
| Fax Number: | 2012519595 |
| NPI Enumeration Date: | 02/16/2007 |
| NPI Last Update Date: | 04/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 35SI00271700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |