Jerry T. Lawler Phd Psychologist LLC
Psychologist, Clinical in Ellicott City, MD. Organization (NPI-2).
NPI number1073449153
StatusActive
Last updated in NPPESJun 18, 2026
Details
- NPI
- 1073449153
- Entity type
- Organization (NPI-2)
- Legal business name
- Jerry T. Lawler Phd Psychologist LLC
- Organization subpart
- No
- Enumeration date
- Jun 18, 2026
- Certification date
- Jun 18, 2026
- Last updated
- Jun 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
5054 Dorsey Hall Dr Ste 105Ellicott City, MD 21042-7795
Phone 410-804-1413
Mailing address
109 W Randall StBaltimore, MD 21230-4431
Phone 410-804-1413
Authorized official
Jerry T. Lawler
Owner
4108041413
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