Individual
ANGELA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
655 W 254TH ST, BRONX, NY 10471-1247
(718) 548-2727
(718) 548-4400
Mailing address
655 W 254TH ST, BRONX, NY 10471-1247
(718) 548-2727
(718) 548-4400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021178
NY
171W00000X
Contractor
021178
NY
Other
Enumeration date
06/04/2014
Last updated
12/16/2021
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