Individual
DR. LAUREN FASCIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
216 MAPLE AVE., RED BANK, NJ 07701
(732) 778-6360
Mailing address
216 MAPLE AVE, RED BANK, NJ 07701-1731
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NJ
Other
Enumeration date
06/01/2016
Last updated
09/09/2019
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