Doctor Name: | MR. ALBERT EDWARD LAWRENCE |
NPI Number: | 1093910721 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED., LMHC, NCC |
License Number: | |
Business Practice Address: | 3 Porter St 1st Floor Stoughton, MA - 020722978 |
Business Phone Number: | 7817084504 |
Business Fax Number: | 7813417272 |
Mailing Address: | Po Box 2262, TAUNTON |
State: | MA |
Postal Code: | 027800965 |
Phone Number: | 7746441622 |
Fax Number: | 7813417272 |
NPI Enumeration Date: | 06/21/2007 |
NPI Last Update Date: | 09/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |