Provider Demographics
NPI:1285985424
Name:LAWS-CLAWSON, GWENDOLYN D (APC)
Entity type:Individual
Prefix:
First Name:GWENDOLYN
Middle Name:D
Last Name:LAWS-CLAWSON
Suffix:
Gender:
Credentials:APC
Other - Prefix:
Other - First Name:GWEN
Other - Middle Name:
Other - Last Name:LAWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:71 N 490 W
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2264
Mailing Address - Country:US
Mailing Address - Phone:801-763-7775
Mailing Address - Fax:801-763-7651
Practice Address - Street 1:71 N 490 W
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2264
Practice Address - Country:US
Practice Address - Phone:801-763-7775
Practice Address - Fax:801-763-7651
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8155586-6009101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional