Provider Demographics
NPI:1194037358
Name:MUHLHEIM, LAUREN SIEGLER (PSYD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:SIEGLER
Last Name:MUHLHEIM
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4929 WILSHIRE BLVD STE 1000
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-3825
Mailing Address - Country:US
Mailing Address - Phone:323-743-1122
Mailing Address - Fax:323-693-0875
Practice Address - Street 1:4929 WILSHIRE BLVD STE 1000
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-3825
Practice Address - Country:US
Practice Address - Phone:323-743-1122
Practice Address - Fax:323-693-0875
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 15045103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist