Makisha Alyce Lawrence, PSY.D.

NPI #1164869095 in Ontario, California

Provider Information

NPI Number: 1164869095
Entity Type: Individual
Name: Makisha Alyce Lawrence, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: Jun 1, 2013
Last Updated: Jul 25, 2013

Practice Location

Address: 2910 S ARCHIBALD AVE
Address 2: SUITE A # 129
City: Ontario
State: California
ZIP Code: 91761-7323
Phone: (818) 618-3182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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