Provider Demographics
NPI:1902910102
Name:MAJOVSKI, LAWRENCE V (PHD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:V
Last Name:MAJOVSKI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6512 20TH STREET CT W
Mailing Address - Street 2:SUITE C
Mailing Address - City:FIRCREST
Mailing Address - State:WA
Mailing Address - Zip Code:98466-6212
Mailing Address - Country:US
Mailing Address - Phone:253-572-9917
Mailing Address - Fax:253-858-4060
Practice Address - Street 1:6512 20TH STREET CT W
Practice Address - Street 2:SUITE C
Practice Address - City:FIRCREST
Practice Address - State:WA
Practice Address - Zip Code:98466-6212
Practice Address - Country:US
Practice Address - Phone:253-572-9917
Practice Address - Fax:253-858-4060
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY1655103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1092788Medicare UPIN