Jerry Lawler is a Psychologist in Glen Burnie, Maryland. Jerry Lawler practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jerry Lawler is 1710076278. The last update date is 2018-03-20.
Jerry Lawler's current location address is 30 Greenway St Nw Ste 5, Glen Burnie, Maryland. You can contact this provider via phone number 4107609079 and fax number 4107601121. The mailing address for Jerry Lawler is 30 Greenway St Nw Ste 5, Glen Burnie, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Lawler |
|---|---|
| Address | 30 Greenway St Nw Ste 5, Glen Burnie, Maryland |
| Phone Number | 4107609079 |
| Fax Number | 4107601121 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1710076278 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2018-03-20 |
Provider Mailing Address Detail
| Address | 30 Greenway St Nw Ste 5 |
|---|---|
| City | Glen Burnie |
| State | Maryland (MD) |
| Post Code | 210613557 |
| Phone Number | 4107609079 |
| Fax Number | 4107601121 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 3765 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identifier code assigned to Jerry Lawler by the Centers for Medicare & Medicaid Services?
The Jerry Lawler has been issued the NPI (National Provider Identifier) 1710076278 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jerry Lawler?
The Jerry Lawler is situated at 30 Greenway St Nw Ste 5, in the city of Glen Burnie, state of MD, with the zip code 210613557.
What is Jerry Lawler's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerry Lawler is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
When did Jerry Lawler receive its 1710076278 assignment?
The Jerry Lawler was assigned its 1710076278 on 2006-10-12, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jerry Lawler, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerry Lawler, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-03-20.
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