Provider Demographics
NPI:1366587453
Name:LAWLER SANKAR, SUZETTE JEANNINE (PSYD, LPC)
Entity type:Individual
Prefix:DR
First Name:SUZETTE
Middle Name:JEANNINE
Last Name:LAWLER SANKAR
Suffix:
Gender:F
Credentials:PSYD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 OLD ROSWELL LAKES PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-8665
Mailing Address - Country:US
Mailing Address - Phone:678-997-7895
Mailing Address - Fax:
Practice Address - Street 1:900 OLD ROSWELL LAKES PKWY STE 200
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-8665
Practice Address - Country:US
Practice Address - Phone:678-997-7895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006191101YM0800X, 103TC1900X, 101YP2500X
NJ37PC00293800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
1841660388OtherNPI