Individual
LAUREN CHRISTINA NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
(617) 638-6836
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10274
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110117813A
—
MA
Enumeration date
07/13/2011
Last updated
12/28/2017
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