Linda Mary Lawrence, PSY.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301010766 Issued in MI

Practice address

22811 Mack Ave
Suite L-3
Saint Clair Shores, MI 48080-2021

Phone

(586) 777-0470

Fax

(586) 777-9879

NPI assigned

Aug 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John a Ryan PHD PC

  • Clinical Psychologist
  • Saint Clair Shores, MI
  • NPI 1144456633
  NPD (past)
• Lakeshore Psychological Services

  • Mental Health Counselor
  • Saint Clair Shores, MI
  • NPI 1508927658
  NPD (past)

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1457545527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22811 MACK AVE",
            "address_2": "SUITE L-3",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802021",
            "telephone_number": "586-777-0470",
            "fax_number": "586-777-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22811 MACK AVE",
            "address_2": "SUITE L-3",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802021",
            "telephone_number": "586-777-0470",
            "fax_number": "586-777-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "LINDA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "PSY.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301010766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David William Larose, MD
• Larry N. Magid, DPM PC
• Christopher Alan Larson, D.P.M.
• Shelby Larson
• Lynnette Anne Lavis, RN
• Barbara Lawson, RN MSN NPC
• Bryan Lazzarin, OD
• Christopher Lecznar, MA LPC NCC
• Christopher L Lee, MD
• Kaylin Lee

• Psychologist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.