Individual
DR. JERRY LAWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
30 GREENWAY ST NW STE 5, GLEN BURNIE, MD 21061-3557
(410) 760-9079
(410) 760-1121
Mailing address
30 GREENWAY ST NW STE 5, GLEN BURNIE, MD 21061-3557
(410) 760-9079
(410) 760-1121
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03765
MD
Other
Enumeration date
10/12/2006
Last updated
03/20/2018
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