National Provider Identifier
Lawrence Van Gorder Jr.
Lawrence Van Gorder Jr. is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 883-5344.
Profile Overview
- NPI
- 1346121563
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- September 12, 2025
- Last Updated
- November 25, 2025
Practice Location
- 1051 Niagara St
- Buffalo, NY 14213-2051
Phone: (716) 883-5344
Mailing Address
- 951 Niagara St
- Buffalo, NY 14213-2116
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1346121563
- Entity Type
- Individual
- Last Name
- Van Gorder
- First Name
- Lawrence
- Name Suffix
- Jr.
- Mailing Street Address
- 951 Niagara St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-2116
- Mailing Country
- US
- Practice Street Address
- 1051 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-2051
- Practice Country
- US
- Practice Phone
- (716) 883-5344
- Enumeration Date
- September 12, 2025
- Last Updated
- November 25, 2025
- Sex
- X
- Sole Proprietor
- No
- Certification Date
- November 25, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)