Provider Demographics
NPI:1730429457
Name:LAWSON, ERICA A (MA)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:A
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1071 MOONSTONE PL
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-2819
Mailing Address - Country:US
Mailing Address - Phone:858-405-4172
Mailing Address - Fax:619-500-5684
Practice Address - Street 1:1071 MOONSTONE PL
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-2819
Practice Address - Country:US
Practice Address - Phone:858-405-4172
Practice Address - Fax:619-500-5684
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14014235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist