Provider Demographics
NPI:1578991527
Name:WHITTINGTON, LAWRENCE GERALD
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:GERALD
Last Name:WHITTINGTON
Suffix:
Gender:M
Credentials:
Other - Prefix:MRS
Other - First Name:JANICE
Other - Middle Name:MAUREEN
Other - Last Name:WHITTINGTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:724 S. CENTRAL SUITE 101
Mailing Address - Street 2:FAMILY SOLUTIONS
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501
Mailing Address - Country:US
Mailing Address - Phone:541-776-5793
Mailing Address - Fax:541-776-5798
Practice Address - Street 1:6340 HONEY TREE LN.
Practice Address - Street 2:
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502
Practice Address - Country:US
Practice Address - Phone:541-664-3297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst