Provider Demographics
NPI:1639169022
Name:MEOGROSSI, LAWRENCE JOSEPH (PHD LCPC)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:JOSEPH
Last Name:MEOGROSSI
Suffix:
Gender:M
Credentials:PHD LCPC
Other - Prefix:
Other - First Name:ROMUALD
Other - Middle Name:JOSEPH
Other - Last Name:MEOGROSSI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3274
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-0274
Mailing Address - Country:US
Mailing Address - Phone:410-719-0086
Mailing Address - Fax:410-744-2321
Practice Address - Street 1:2 W ROLLING CROSSROADS
Practice Address - Street 2:SUITE 209
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-6208
Practice Address - Country:US
Practice Address - Phone:410-719-0086
Practice Address - Fax:410-744-2321
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0191101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDQR62SUOtherCAREFIRST
MDR0390003OtherCAREFIRST FEP