Lawlor, Mary Ellen

Lawlor, Mary Ellen is an sole proprietor health care provider with primary practice located at 464 Glen St , Glens Falls NY 12801-2925. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lawlor, Mary Ellen can be contacted via phone (518) 792-7927.

Contact Information

Primary practice address
464 Glen St Glens Falls NY 12801-2925
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 10781 New York

Profile Details

NPI number 1013136001
LBN Legal business name Lawlor, Mary Ellen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2007
Last updated Jun 24th, 2010 - about 14 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 1013136001 NPPES
New York MEDICAID 01243365

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