Individual
DR. LAUREN CATHERINE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12 2ND ST, HACKENSACK, NJ 07601-2009
(551) 996-8186
Mailing address
12 2ND ST, HACKENSACK, NJ 07601-2009
(551) 996-8186
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
027983
NY
103TC0700X
Clinical Psychologist
Primary
33568
CA
103TC0700X
Clinical Psychologist
Primary
35SI00801300
NJ
Other
Enumeration date
06/15/2023
Last updated
03/04/2026
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