Healthcare Provider Details

I. General information

NPI: 1730322694
Provider Name (Legal Business Name): LAUREN RALLO SCHWARZ PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN ANN RALLO

II. Dates (important events)

Enumeration Date: 04/08/2009
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 KIRMAN AVE STE 200
RENO NV
89502-1340
US

IV. Provider business mailing address

1155 MILL ST # MCM14
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-2862
  • Fax: 775-982-2865
Mailing address:
  • Phone: 775-982-5262
  • Fax: 775-982-2865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY1188
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2008028913
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2008028913
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: