Healthcare Provider Details

I. General information

NPI: 1437014800
Provider Name (Legal Business Name): LAUREN AYN SYPHERS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 E 2ND AVE STE 100
CONSHOHOCKEN PA
19428-1880
US

IV. Provider business mailing address

1101 NEW DEHAVEN ST
CONSHOHOCKEN PA
19428-2742
US

V. Phone/Fax

Practice location:
  • Phone: 484-534-9686
  • Fax: 610-828-4910
Mailing address:
  • Phone: 484-534-9686
  • Fax: 610-828-4910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: