Healthcare Provider Details

I. General information

NPI: 1891018214
Provider Name (Legal Business Name): LAUREN M FLOWERS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2010
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 561 BOX 1877
FPO AP
96310-0019
US

IV. Provider business mailing address

PSC 561 BOX 1317
FPO AP
96310-0014
US

V. Phone/Fax

Practice location:
  • Phone: 315-253-4180
  • Fax:
Mailing address:
  • Phone: 315-253-4180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS018560
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: