Individual
DR. STEPHEN LAWRENCE
Active
Individual
DR. STEPHEN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2316
MA
103TC0700X
Clinical Psychologist
Primary
722
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-0000722CT01
ANTHEM BLUE SHIELD
CT
01
—
C003558
CHAMPUS
—
Enumeration date
10/21/2005
Last updated
07/13/2026
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