Healthcare Provider Details

I. General information

NPI: 1073745592
Provider Name (Legal Business Name): LAUREN HEATHER MUELLER ED.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2009
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1259 BRIGHTON AVE
ALBANY CA
94706-1336
US

IV. Provider business mailing address

601 SAN GABRIEL AVE
ALBANY CA
94706-1400
US

V. Phone/Fax

Practice location:
  • Phone: 510-558-3600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: