Provider Demographics
NPI:1669584215
Name:LAWSON, JAMES DONALD (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DONALD
Last Name:LAWSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20325 CENTER RIDGE RD
Mailing Address - Street 2:SUITE 740
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3572
Mailing Address - Country:US
Mailing Address - Phone:440-331-4533
Mailing Address - Fax:440-331-5244
Practice Address - Street 1:20325 CENTER RIDGE RD
Practice Address - Street 2:SUITE 740
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3572
Practice Address - Country:US
Practice Address - Phone:440-331-4533
Practice Address - Fax:440-331-5244
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4235103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHLACP07917Medicare ID - Type Unspecified