Provider Demographics
NPI:1023174125
Name:LAWLER, ALICE C
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:C
Last Name:LAWLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-2025
Mailing Address - Country:US
Mailing Address - Phone:512-478-3322
Mailing Address - Fax:512-478-1519
Practice Address - Street 1:708 W 10TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-2025
Practice Address - Country:US
Practice Address - Phone:512-478-3322
Practice Address - Fax:512-478-1519
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22038103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling