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NPI Code Detail

MEDICARE: MS. LAUREN ELIZABETH MARY WEBB PH.D.

MEDICARE: MS. LAUREN ELIZABETH MARY WEBB 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
1103T00000XPsychologist026673NY

General Provider Information

NPI Number : 1992362313
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAUREN ELIZABETH MARY WEBB PH.D.
Provider Business Mailing Address
First Line : 920 PARK AVE APT 15D
Second Line :
City : NEW YORK
State : NY
Zip : 10028-0208
Country : US
Telephone Number : 203-216-8666
Fax Number :
Provider Business Practice Location Address
First Line : 3 COLUMBUS CIR STE 1425
Second Line :
City : NEW YORK
State : NY
Zip : 10019-8720
Country : US
Telephone Number : 212-342-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2019
Last Update Date : 09/11/2024

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