Provider Demographics
NPI:1073914826
Name:BRUGGER, LAUREN-ASHLEY (MA, MFT)
Entity Type:Individual
Prefix:
First Name:LAUREN-ASHLEY
Middle Name:
Last Name:BRUGGER
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SCHOOL ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2534
Mailing Address - Country:US
Mailing Address - Phone:516-667-0707
Mailing Address - Fax:
Practice Address - Street 1:50 SCHOOL ST
Practice Address - Street 2:SUITE 4
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2534
Practice Address - Country:US
Practice Address - Phone:516-667-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-11
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist