Individual
LAUREN ATLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2098 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10026-2792
(912) 663-6224
Mailing address
142 JORALEMON ST, SUITE 3E, BROOKLYN, NY 11201-4747
(718) 935-0400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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