Healthcare Provider Details

I. General information

NPI: 1902116023
Provider Name (Legal Business Name): LAUREN LEDERER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2010
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 RAILROAD AVE UNIT 273
DANVILLE CA
94526-1106
US

IV. Provider business mailing address

23 RAILROAD AVE UNIT 273
DANVILLE CA
94526-1106
US

V. Phone/Fax

Practice location:
  • Phone: 619-455-2888
  • Fax:
Mailing address:
  • Phone: 619-455-2888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: