CORIANNE RAYCHAEL LAWRENCE


Address: 112 N 14th St, Selah, WA 98942-1713
Phone: 5098345777

CORIANNE RAYCHAEL LAWRENCE (NPI# 1841757010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841757010
Entity Type Individual
Full Name CORIANNE RAYCHAEL LAWRENCE
Credential CNIM
Practice Address 112 N 14th St
Selah
WA 98942-1713
Practice Telephone 5098345777
Mailing Telephone 5098345777
Enumeration Date 2019-02-25
Last Update Date 2019-02-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist WA Behavioral Health & Social Service Providers

Office Location

Street Address 112 N 14TH ST
City SELAH
State WA
Zip Code 98942-1713

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1063847580 Rebekah Mccullough Counselor 107 W Orchard Ave, Selah, WA 98942 2013-09-04
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1639296619 Angela Marie Kelsey Massage Therapist 107 W Naches, Selah, WA 98942 2007-03-23
1093899338 Jeffrey L Jennings Psychiatry & Neurology 691 S Wenas, Selah, WA 98942 2006-10-24
1215935069 David Lee Lemmon Chiropractor 318 S 1st Street, Selah, WA 98942 2005-07-13
1275775645 Memorial Practice Management, LLC Clinic/Center 118 S 2nd St, Yakima, WA 98942 2009-04-01
1518981489 David A Pommer Family Medicine 620 N. Park Drive, Selah, WA 98942 2006-07-26
1821030123 Washington State Dept. of Social & Health Services Pharmacy 609 Speyers Rd, Selah, WA 98942-1050 2006-06-12
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588138333 Mynd Group LLC Clinical Neuropsychologist 1066 View Ridge Dr, Oak Harbor, WA 98277-8265 2019-01-15
1588163208 Johanah Y Kang Clinical Neuropsychologist 2013 South 19th Street, Tacoma, WA 98405 2018-02-08
1669850681 Neuropsychological Services of The South Sound LLC Clinical Neuropsychologist 2620 R W Johnson Rd Sw Ste 204, Tumwater, WA 98512-6133 2015-05-11
1710372412 Daniela Ferdico Clinical Neuropsychologist 2101 112th Ave Ne, Suite 100, Bellevue, WA 98004-2944 2015-03-31
1689069502 Erica K Johnson Clinical Neuropsychologist 19000 33rd Ave W Ste 100, Lynnwood, WA 98036-4750 2015-03-30
1659776474 Rodger Meinz Clinical Neuropsychologist 12712 Admiralty Way, B-101, Everett, WA 98204-5562 2014-10-23
1952704413 Brad Tyson Clinical Neuropsychologist 12039 Ne 128th St Fl 3, Kirkland, WA 98034-3029 2014-09-29
1649694662 Kelly L Crenshaw Clinical Neuropsychologist 12 Bellwether Way Ste 240, Bellingham, WA 98225-2959 2014-02-11
1508289299 Neuropsychology and Cognitive Health Clinical Neuropsychologist 1808 Richards Rd #120, Bellevue, WA 98005-3982 2014-01-30
1104105816 Leapss and Beyond Clinical Neuropsychologist 413 Lincoln Ave Ste A, Mukilteo, WA 98275-1524 2011-08-11
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Competitor

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City SELAH
Zip Code 98942

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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