Provider Demographics
NPI:1427183706
Name:LAWTON, EILEEN B (LICENSED MENTAL HEAL)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:B
Last Name:LAWTON
Suffix:
Gender:F
Credentials:LICENSED MENTAL HEAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 COLCHESTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360
Mailing Address - Country:US
Mailing Address - Phone:508-846-2263
Mailing Address - Fax:508-830-0092
Practice Address - Street 1:26 COLCHESTER DRIVE
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360
Practice Address - Country:US
Practice Address - Phone:508-846-2263
Practice Address - Fax:508-830-0092
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA461101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health