Individual
LAUREN BUSH
Active
Individual
LAUREN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY11757
FL
103T00000X
Psychologist
071010675
IL
Other
Enumeration date
06/01/2022
Last updated
05/13/2026
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