Healthcare Provider Details

I. General information

NPI: 1881191674
Provider Name (Legal Business Name): LAUREN KRISTEN STEINBECK PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2018
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2716 SOUTH ST FL 5
PHILADELPHIA PA
19146-2305
US

IV. Provider business mailing address

325 PENN RD UNIT 208
WYNNEWOOD PA
19096-1449
US

V. Phone/Fax

Practice location:
  • Phone: 267-426-9563
  • Fax:
Mailing address:
  • Phone: 732-947-6395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS019421
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: