Provider Demographics
NPI:1316499882
Name:LAWRENCE, CAITLIN RYAN (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:RYAN
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:RYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:53 ARDMORE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1803
Mailing Address - Country:US
Mailing Address - Phone:609-558-6980
Mailing Address - Fax:
Practice Address - Street 1:120 VALLEY GREEN LN STE 660
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2079
Practice Address - Country:US
Practice Address - Phone:888-227-3898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-31
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009245101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional