Provider Demographics
NPI:1760174163
Name:LAWSON, STEPHANIE MICHELE (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:MICHELE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11438 FALCON RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1446
Mailing Address - Country:US
Mailing Address - Phone:240-210-5005
Mailing Address - Fax:
Practice Address - Street 1:10770 COLUMBIA PIKE STE 105
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4402
Practice Address - Country:US
Practice Address - Phone:703-237-2219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician