Most Relevant Information
Provider Data
| NPI Number: | 1003836099 |
| Provider Name: | PATRICIA LAWSON-BUCKLEY LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 35001343 |
Most Important Dates
| Enumeration Date: | 07/20/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
445 S LANDMARK AVE
BLOOMINGTON
IN
474065004
Practice Location Phone/Fax
| Phone: | 8123533450 |
| Fax: | 8123533451 |
Provider Mailing Location
601 W 2ND ST
BLOOMINGTON
IN
474032317
Provider Mailing Phone/Fax
| Phone: | 8123533450 |
| Fax: | 8123533451 |