Provider Demographics
NPI:1881895506
Name:LAWRY, SUZANN S (PHD)
Entity type:Individual
Prefix:DR
First Name:SUZANN
Middle Name:S
Last Name:LAWRY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2751 BUFORD HWY NE
Mailing Address - Street 2:SUITE 401 DRUID POINTE
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3207
Mailing Address - Country:US
Mailing Address - Phone:404-639-5556
Mailing Address - Fax:404-639-5558
Practice Address - Street 1:2751 BUFORD HWY NE
Practice Address - Street 2:SUITE 401 DRUID POINTE
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3207
Practice Address - Country:US
Practice Address - Phone:404-639-5556
Practice Address - Fax:404-639-5558
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2154103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist