Healthcare Provider Details

I. General information

NPI: 1780593269
Provider Name (Legal Business Name): LAUREN SCHENCK PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 HAL GREER BLVD
HUNTINGTON WV
25701-4113
US

IV. Provider business mailing address

1340 HAL GREER BLVD BLDG 2
HUNTINGTON WV
25701-3804
US

V. Phone/Fax

Practice location:
  • Phone: 304-691-1606
  • Fax: 304-733-7920
Mailing address:
  • Phone: 304-377-8876
  • Fax: 304-733-7920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number1385
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: