Provider Demographics
NPI:1124278643
Name:FORCE, LAWRENCE THOMAS (PHD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:THOMAS
Last Name:FORCE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 TRAVER RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12569-5427
Mailing Address - Country:US
Mailing Address - Phone:914-475-7629
Mailing Address - Fax:
Practice Address - Street 1:38 TRAVER RD
Practice Address - Street 2:
Practice Address - City:PLEASANT VALLEY
Practice Address - State:NY
Practice Address - Zip Code:12569-5427
Practice Address - Country:US
Practice Address - Phone:914-475-7629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-20
Last Update Date:2008-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR051620-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02511842Medicaid
NY02511842Medicaid