Individual
THERESE A LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S./C.A.S.
Contact information
Practice address
5415 COUNTY ROAD 30, CANANDAIGUA, NY 14424-7964
(585) 394-1190
Mailing address
5415 COUNTY ROAD 30, CANANDAIGUA, NY 14424-7964
(585) 394-1190
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
586816
NEW YORK STATE CERTIFICATION NUMBER
NY
Enumeration date
06/14/2012
Last updated
06/14/2012
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