Individual
DR. LAUREN KRUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
255 S 17TH ST STE 1606, PHILADELPHIA, PA 19103-6216
(215) 648-2466
Mailing address
4336 PINE ST, PHILADELPHIA, PA 19104-3920
(215) 913-5392
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017639
PA
Other
Enumeration date
09/10/2014
Last updated
12/11/2019
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