National Provider Identifier

Mark W Lawson, PH.D.

Mark W Lawson, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Bath, NY and a listed phone number of (607) 664-4305.

NPI 1073620944Bath, NYClinical Psychologist

Profile Overview

NPI
1073620944
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
August 24, 2006
Last Updated
July 08, 2007

Practice Location

  • 76 Veterans Ave
  • Bh/116/76/511
  • Bath, NY 14810-0810

Phone: (607) 664-4305

Mailing Address

  • 104 Texas Ln
  • Ithaca, NY 14850-1755

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1073620944
Entity Type
Individual
Last Name
Lawson
First Name
Mark
Middle Name
W
Name Prefix
Dr.
Credential
PH.D.
Mailing Street Address
104 Texas Ln
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1755
Mailing Country
US
Mailing Phone
(607) 319-0929
Practice Street Address
76 Veterans Ave
Practice Address Line 2
Bh/116/76/511
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-0810
Practice Country
US
Practice Phone
(607) 664-4305
Enumeration Date
August 24, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)