Provider Demographics
NPI:1083847370
Name:KAUFMAN, LAWRENCE BERNARD (MSED, LMFT)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:BERNARD
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:MSED, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6317 WHISPERING WIND WAY
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-3516
Mailing Address - Country:US
Mailing Address - Phone:561-302-0568
Mailing Address - Fax:561-637-1648
Practice Address - Street 1:7301 W PALMETTO PARK RD
Practice Address - Street 2:SUITE 201A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3458
Practice Address - Country:US
Practice Address - Phone:561-302-0568
Practice Address - Fax:561-637-1648
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2011-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1892106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist