Provider Demographics
NPI:1326473208
Name:MESSINA, LAUREN DEAN (MA,LPC, LPAT, ATR-BC)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:DEAN
Last Name:MESSINA
Suffix:
Gender:F
Credentials:MA,LPC, LPAT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 EAST PLEASANT AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038
Mailing Address - Country:US
Mailing Address - Phone:908-251-7554
Mailing Address - Fax:
Practice Address - Street 1:716 EAST PLEASANT AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038
Practice Address - Country:US
Practice Address - Phone:908-251-7554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NJ16LP00017800221700000X
15-085221700000X
PAPC008880101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist