Individual
DR. LAWRENCE P. MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6433 PALMETTO ST, RIDGEWOOD, NY 11385-3326
(718) 497-2425
(718) 497-2425
Mailing address
6433 PALMETTO ST, RIDGEWOOD, NY 11385-3326
(718) 497-2425
(718) 497-2425
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
006700
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006700
STATE LICENSE NUMBER
NY
Enumeration date
05/30/2007
Last updated
07/08/2007
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