Individual
LAWRENCE S GAINES
Active
Individual
LAWRENCE S GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00683
TN
103TC2200X
Clinical Child & Adolescent Psychologist
P000683
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620476822
TAX ID
TN
05
—
Q001962
—
TN
Enumeration date
06/12/2007
Last updated
12/12/2025
Update your record
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