Healthcare Provider Details

I. General information

NPI: 1093049694
Provider Name (Legal Business Name): LAUREN C MENSIE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2009
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 12
HIGH RIDGE MO
63049-0012
US

IV. Provider business mailing address

PO BOX 12
HIGH RIDGE MO
63049-0012
US

V. Phone/Fax

Practice location:
  • Phone: 314-447-9705
  • Fax: 314-447-9706
Mailing address:
  • Phone: 314-322-1295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number200902435
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: