Healthcare Provider Details

I. General information

NPI: 1518311349
Provider Name (Legal Business Name): LAUREN GENT PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 04/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ALHAMBRA AVE
MARTINEZ CA
94553-3156
US

IV. Provider business mailing address

2075 WALNUT SHADOWS CT
CONCORD CA
94518-3568
US

V. Phone/Fax

Practice location:
  • Phone: 925-431-2832
  • Fax:
Mailing address:
  • Phone: 716-868-2284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number28224
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: