Provider Demographics
NPI:1881147254
Name:LAWRENCE-THOMPSON, MARY CATHERINE (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:CATHERINE
Last Name:LAWRENCE-THOMPSON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:4501 S HOLBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-1926
Mailing Address - Country:US
Mailing Address - Phone:605-362-2784
Mailing Address - Fax:605-362-2776
Practice Address - Street 1:4501 S HOLBROOK AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-1926
Practice Address - Country:US
Practice Address - Phone:605-362-2784
Practice Address - Fax:605-362-2776
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD152-SLP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist