Individual
NADINE ALISON LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
350 PROSPECT AVE APT 703, HACKENSACK, NJ 07601-2587
(917) 514-4406
Mailing address
350 PROSPECT AVE APT 703, HACKENSACK, NJ 07601-2587
(917) 514-4406
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015218
NY
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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