Provider Demographics
NPI:1689955023
Name:LAWSON-ROSS, AMANDA DANICA (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:DANICA
Last Name:LAWSON-ROSS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 NW 33RD CT
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2552
Mailing Address - Country:US
Mailing Address - Phone:352-448-8195
Mailing Address - Fax:
Practice Address - Street 1:2121 NW 40TH TER
Practice Address - Street 2:STE B
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-5813
Practice Address - Country:US
Practice Address - Phone:352-336-2888
Practice Address - Fax:352-371-1730
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist