Provider Demographics
NPI:1003465741
Name:LAWRENCE, MEGHAN CALLAHAN (LBA)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:CALLAHAN
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:LBA
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:ELIZABETH
Other - Last Name:CALLAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5207 SANBORN TERRACE
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-1298
Mailing Address - Country:US
Mailing Address - Phone:443-783-1208
Mailing Address - Fax:
Practice Address - Street 1:5207 SANBORN TER
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-1298
Practice Address - Country:US
Practice Address - Phone:443-783-1208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-05
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst