Provider Demographics
NPI:1437374766
Name:LAWLA, CHRISTOPHER K (MA CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:K
Last Name:LAWLA
Suffix:
Gender:M
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-4111
Mailing Address - Country:US
Mailing Address - Phone:845-775-3357
Mailing Address - Fax:
Practice Address - Street 1:9 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-4111
Practice Address - Country:US
Practice Address - Phone:845-775-3357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017106235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist