Provider Demographics
NPI:1205055571
Name:LAWRIE, DEVON ANN (MACCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:DEVON
Middle Name:ANN
Last Name:LAWRIE
Suffix:
Gender:F
Credentials:MACCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30481 SALEM ALLIANCE RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-9734
Mailing Address - Country:US
Mailing Address - Phone:330-421-0762
Mailing Address - Fax:
Practice Address - Street 1:800 S 15TH ST
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:OH
Practice Address - Zip Code:44672-2050
Practice Address - Country:US
Practice Address - Phone:330-938-6126
Practice Address - Fax:330-938-7548
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 8473235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist