Individual
GWENDOLYN M LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2716 SOUTH ST, PHILADELPHIA, PA 19146-2305
(402) 301-1256
Mailing address
205 E EAGLE RD, HAVERTOWN, PA 19083-1526
(402) 301-1245
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS018894
PA
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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