Individual
HOLLY ANNE LAWRENCE
Active
Individual
HOLLY ANNE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031161502
—
TX
05
—
031161505
—
TX
01
—
87163A
BCBS
TX
01
—
P00295323
RAILROAD MEDICARE
TX
Enumeration date
05/22/2006
Last updated
02/25/2020
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