Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 22038 | TX |
NPI | 1023174125 |
---|---|
Provider Name | Dr. Alice C. Lawler |
First Address | Austin, TX 78701-2025 |
Second Address | Austin, TX 78701-2025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2006 |
Last Update Date | 08/07/2007 |