Doctor Name: | MR. LAWRENCE ANDERSON MORETZ |
NPI Number: | 1588640916 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED. |
License Number: | 2490 |
Business Practice Address: | 115 N Poplar St Winston-salem, NC - 271013741 |
Business Phone Number: | 3367615071 |
Business Fax Number: | |
Mailing Address: | Po Box 20323, WINSTON SALEM |
State: | NC |
Postal Code: | 271200323 |
Phone Number: | 3367615071 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2490 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |