Organization
LAUREN KRUG, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN RAE KRUG PH.D. (PSYCHOLOGIST)
(215) 648-2466
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
12/11/2019
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