Provider Demographics
NPI:1679329528
Name:LAWYER, JOSHUA DEAN
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:DEAN
Last Name:LAWYER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3320 HAMILTON ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-1192
Mailing Address - Country:US
Mailing Address - Phone:701-751-2828
Mailing Address - Fax:
Practice Address - Street 1:3320 HAMILTON ST UNIT 3
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-1192
Practice Address - Country:US
Practice Address - Phone:701-751-2828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1354-5-1-24A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health