Healthcare Provider Details

I. General information

NPI: 1265978654
Provider Name (Legal Business Name): LAUREN C LACHICA-MUSCHETT PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2017
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13215 PANAMA BEACH CT
ORLANDO FL
32827-3877
US

IV. Provider business mailing address

13215 PANAMA BEACH CT
ORLANDO FL
32827-3877
US

V. Phone/Fax

Practice location:
  • Phone: 954-830-1537
  • Fax:
Mailing address:
  • Phone: 954-830-1537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY33659
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810006175
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: