Individual
LAUREN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-7555
(215) 590-7387
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-7555
(215) 590-7387
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS017867
PA
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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