Jerry T. Lawler PHD Psychologist LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JERRY T. LAWLER PHD PSYCHOLOGIST LLC

Practice address

5054 Dorsey Hall Dr Ste 105
Ellicott City, MD 21042-7795

Phone

(410) 804-1413

NPI assigned

Jun 18, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerry T. Lawler, PHDNPI 1710076278

Title

Owner

Phone

(410) 804-1413

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Lawler, PHD

  • Psychologist
  • Glen Burnie, MD
  • NPI 1710076278
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1073449153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W RANDALL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304431",
            "telephone_number": "410-804-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5054 DORSEY HALL DR STE 105",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427795",
            "telephone_number": "410-804-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY T. LAWLER PHD PSYCHOLOGIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-804-1413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.