Organization
LANTERN MENTAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BRANDON LAWSON MA-CLINICAL PSYCHOLO (OWNER OF LANTERN MENTAL HEALTH INC)
(304) 732-0071
Entity
Organization
Contact information
Practice address
438 R 10, PINEVILLE, WV 24874-0274
(304) 732-0071
(304) 732-0070
Mailing address
PO BOX 274, PINEVILLE, WV 24874-0274
(304) 732-0071
(304) 732-0070
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1014
WV
103TA0700X
Adult Development & Aging Psychologist
1014
WV
103TB0200X
Cognitive & Behavioral Psychologist
1014
WV
103TC0700X
Clinical Psychologist
Primary
1014
WV
103TC1900X
Counseling Psychologist
1014
WV
103TC2200X
Clinical Child & Adolescent Psychologist
1014
WV
103TF0000X
Family Psychologist
1014
WV
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1014
WV
103TP2701X
Group Psychotherapy Psychologist
1014
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810019842
—
WV
Enumeration date
04/07/2011
Last updated
12/03/2018
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