Individual
DR. LAUREN C. TAVERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5010 E WARNER RD STE 108, PHOENIX, AZ 85044-3354
(480) 382-4416
Mailing address
5010 E WARNER RD STE 108, PHOENIX, AZ 85044-3354
(480) 382-4416
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0005234
AZ
103TC0700X
Clinical Psychologist
005234
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/13/2017
Last updated
07/19/2022
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