Edith C Lawrence, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001206 Issued in VA

Practice address

417 Emmet Street, South
Charlottesville, VA 22904-4270

Phone

(434) 924-7034

Fax

(434) 924-4621

NPI assigned

Jul 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1295733236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 EMMET STREET, SOUTH",
            "address_2": "P.O. BOX 400270",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229044270",
            "telephone_number": "434-924-7034",
            "fax_number": "434-924-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 EMMET STREET, SOUTH",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229044270",
            "telephone_number": "434-924-7034",
            "fax_number": "434-924-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "EDITH",
        "middle_name": "C",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007706103",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassidy Reese Lavin, MD
• Eden Law
• Nicholas Stewart Law, DPT
• Catherine Macmillan Lawder, L.C.S.W.
• David A. Lawrence, M.D.
• Luke Lawrence
• Monica G. Lawrence, M.D.
• Maxwell Thomas Laws, MD
• Alexander S Lawson, M.D.
• Jennifer Lawson, FNP

• Clinical Psychologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.