Individual
LAUREN FISHBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
187 W SCHROCK RD, WESTERVILLE, OH 43081-2890
(914) 355-7500
(614) 355-7533
Mailing address
187 W SCHROCK RD, WESTERVILLE, OH 43081-2890
(914) 355-7500
(614) 355-7533
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
7514
OH
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS018928
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
07/09/2014
Last updated
12/05/2019
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