Provider Demographics
NPI:1023538733
Name:TAYLOR SCOTT, LAUREN KRISTEN
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:KRISTEN
Last Name:TAYLOR SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6617 MALVERN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19151-2346
Mailing Address - Country:US
Mailing Address - Phone:215-910-3921
Mailing Address - Fax:
Practice Address - Street 1:6617 MALVERN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19151-2346
Practice Address - Country:US
Practice Address - Phone:215-910-3921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health