Provider Demographics
NPI:1023287612
Name:LAWYER, STEVEN RANDALL (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:RANDALL
Last Name:LAWYER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:IDAHO STATE UNIVERSITY
Mailing Address - Street 2:DEPARTMENT OF PSYCHOLOGY, STOP 8112
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83209-8112
Mailing Address - Country:US
Mailing Address - Phone:208-282-2142
Mailing Address - Fax:208-282-4832
Practice Address - Street 1:IDAHO STATE UNIVERSITY
Practice Address - Street 2:DEPARTMENT OF PSYCHOLOGY, STOP 8112
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83209-8112
Practice Address - Country:US
Practice Address - Phone:208-282-2142
Practice Address - Fax:208-282-4832
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PSY202371103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral