Provider Demographics
NPI:1083148696
Name:LAWLESS, CHRISTOPHER JOSEPH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOSEPH
Last Name:LAWLESS
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Gender:M
Credentials:PSYD
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Mailing Address - Street 1:3551 ROGER BROOKE DR
Mailing Address - Street 2:DEPARTMENT OF BEHAVIORAL MEDICINE-MCHE-DBM
Mailing Address - City:FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-539-6150
Mailing Address - Fax:210-539-6150
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:DEPARTMENT OF BEHAVIORAL MEDICINE-MCHE-DBM
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-539-6150
Practice Address - Fax:210-539-6150
Is Sole Proprietor?:No
Enumeration Date:2017-04-20
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WY691103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical