DR. Lauren Kavanaugh-Wallace, PSYD
NPI #1649459397 in Cornelius, North Carolina
Provider Information
- NPI Number
- 1649459397
- Entity Type
- Individual
- Name
- DR. Lauren Kavanaugh-Wallace, PSYD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- PSYD
- Enumeration Date
- Oct 30, 2007
- Last Updated
- Jan 13, 2012
Practice Location
- Address
- 18805 W CATAWBA AVE
- Address 2
- STE 207
- City
- Cornelius
- State
- North Carolina
- ZIP Code
- 28031-4608
- Phone
- (704) 787-4272
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
| Psychologist - Clinical — Clinical |
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