Healthcare Provider Details

I. General information

NPI: 1336557719
Provider Name (Legal Business Name): LAUREN GASHLIN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2014
Last Update Date: 02/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 ROUTE 33
NEPTUNE NJ
07753-6102
US

IV. Provider business mailing address

2100 ROUTE 33 STE 9-10
NEPTUNE NJ
07753-6102
US

V. Phone/Fax

Practice location:
  • Phone: 732-988-3441
  • Fax:
Mailing address:
  • Phone: 732-988-3441
  • Fax: 732-988-7123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberTP143-052
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: