Dalton, Lawrence Timothy

Dalton, Lawrence Timothy is an sole proprietor health care provider with primary practice located at 5530 Wisconsin Ave Suite 915, Chevy Chase MD 20815-4404. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Dalton, Lawrence Timothy can be contacted via phone (301) 951-3668.

Contact Information

Primary practice address
5530 Wisconsin Ave Suite 915 Chevy Chase MD 20815-4404
Fax: (301) 654-0376
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 01983 Maryland

Profile Details

NPI number 1619011624
LBN Legal business name Dalton, Lawrence Timothy
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619011624 NPPES
Maryland Other 5469 CAREFIRST

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