MEDICARE: DR. LAUREN ELIZABETH EHRET PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	6301016491	MI

General Provider Information

NPI Number	:	1518318286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN ELIZABETH EHRET PH.D.

Provider Business Mailing Address
First Line	:	6442 CITY WEST PKWY # 200
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-3245
Country	:	US
Telephone Number	:	763-318-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	6442 CITY WEST PKWY # 200
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-3245
Country	:	US
Telephone Number	:	763-318-2800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2016
Last Update Date	:	03/06/2026

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