Provider Demographics
NPI:1508097031
Name:AYR-VOLTA, LAUREN K (PHD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:K
Last Name:AYR-VOLTA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:K
Other - Last Name:AYR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:133 SCOVILL STREET, SUTE 211
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06706
Mailing Address - Country:US
Mailing Address - Phone:203-573-9521
Mailing Address - Fax:203-573-8707
Practice Address - Street 1:133 SCOVILL STREET, SUITE 211
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06706
Practice Address - Country:US
Practice Address - Phone:203-573-9521
Practice Address - Fax:203-573-8707
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002948103G00000X, 103T00000X
CTCT002948103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008003979Medicaid