Dr. Judith Wilner Lawrence
Clinical Psychologist
1577 Beacon St
Brookline
, Massachusetts 02446-4602
Dr. Judith Wilner Lawrence
Clinical Psychologist
1577 Beacon St
Brookline
, Massachusetts 02446-4602
(617) 731-8585
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Judith Wilner Lawrence
- 1577 Beacon St
- Brookline, MA
- Zip : 02446-4602
- Fax : (617) 731-8585
- Phone : (617) 739-1212
Second Address
- Dr. Judith Wilner Lawrence
- 1577 Beacon St
- Brookline, MA
- Zip : 02446-4602
- Fax : (617) 731-8585
- Phone : (617) 739-1212
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 7154 | MA |
| Y | 103TC0700X | Clinical Psychologist | 7154 | MA |
National Provider Identifier
| NPI | 1013062827 |
|---|---|
| Provider Name | Dr. Judith Wilner Lawrence |
| First Address | Brookline, MA 02446-4602 |
| Second Address | Brookline, MA 02446-4602 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7154 | STATE PSYCHOLOGY LICENSE (01) | MA |
| W05753 | BCBS PIN (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.