Individual
LAUREN NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
E1820 KIRK CT, EAU CLAIRE, WI 54701-9682
(715) 456-2655
Mailing address
E1820 KIRK CT, EAU CLAIRE, WI 54701-9682
(715) 456-2655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5270-57
WI
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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