Individual
LAUREN ELIZABETH MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(651) 645-5323
(651) 379-6141
Mailing address
2150 SILVERSMITH CT, WOODBRIDGE, VA 22191-4123
(917) 626-7281
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6603
MN
Other
Enumeration date
06/16/2019
Last updated
11/09/2020
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