Healthcare Provider Details

I. General information

NPI: 1033519350
Provider Name (Legal Business Name): LAUREN A GOLDEN PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2014
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13815 N 50TH ST
SCOTTSDALE AZ
85254-2863
US

IV. Provider business mailing address

13815 N 50TH ST
SCOTTSDALE AZ
85254-2863
US

V. Phone/Fax

Practice location:
  • Phone: 602-881-2313
  • Fax:
Mailing address:
  • Phone: 602-881-2313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY-005696
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number2018030706
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: