Individual
LAUREN TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BROADWAY FL 12, NEW YORK, NY 10010-3452
(201) 819-0746
Mailing address
92 THIRD ST, NEW CITY, NY 10956-5929
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00667600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2018
Last updated
06/07/2023
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