Provider Demographics
NPI:1609945641
Name:PICK, LAWRENCE H (PHD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:H
Last Name:PICK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7440
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-0440
Mailing Address - Country:US
Mailing Address - Phone:646-299-6982
Mailing Address - Fax:
Practice Address - Street 1:3000 CONNECTICUT AVE NW STE 238
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-2531
Practice Address - Country:US
Practice Address - Phone:202-808-3989
Practice Address - Fax:202-888-6276
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016081-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist