Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LAUREN KAVANAUGH-WALLACE, PSYD
Active Sole ProprietorDR. LAUREN KAVANAUGH-WALLACE, PSYD is a Psychologist healthcare provider located in CORNELIUS, North Carolina. NPI 1649459397 is currently active in the NPPES registry. Verify at CMS.
Psychologist · CORNELIUS, NC
Registration Details
- NPI Number
- 1649459397
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 30, 2007 (18.832436763359 yrs)
- Last Updated
- Jan 13, 2012
- Licenses
-
P-3786 (NC)630101257 (MI)6301011257 (MI)071005134 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18805 W CATAWBA AVESTE 207CORNELIUS, NC, 280314608Browse NC providers · Browse ZIP 28031
- Phone
- 7047874272
- Fax
- 9803217106
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Clinical Psychologist
Other Psychologist Providers in CORNELIUS, NC
| Name | Credential | NPI |
|---|---|---|
| DR. HOWARD RYAN SLUTZKY | PSYD | 1063465078 |
| DR. LAURA ROEL SKINNER | PH.D. | 1497828982 |
| DR. DONNA ALICIA SMITH-HOGAN | PH.D. | 1508007998 |
| DR. LAUREN ASHLEY STUTTS | PH.D. | 1336420421 |
| DR. LAUREN MARIE PENWELL-WAINES | — | 1942610084 |
| FRIEDA BROWN | PH.D. | 1922558899 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.