Provider Demographics
NPI:1194932756
Name:LAWHON, STEVEN R (PSYD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:LAWHON
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:R
Other - Last Name:LAWHON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:323 W WALNUT ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-6760
Mailing Address - Country:US
Mailing Address - Phone:423-378-0011
Mailing Address - Fax:423-246-0311
Practice Address - Street 1:323 W WALNUT ST
Practice Address - Street 2:SUITE 201
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-6760
Practice Address - Country:US
Practice Address - Phone:423-378-0011
Practice Address - Fax:423-246-0311
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP1181103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical