Provider Demographics
NPI:1578718466
Name:WEEKS, LAUREN KRUEGER (PSYD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:KRUEGER
Last Name:WEEKS
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 1:21 WORTHEN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-4814
Mailing Address - Country:US
Mailing Address - Phone:781-647-4990
Mailing Address - Fax:
Practice Address - Street 1:21 WORTHEN RD STE 2
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-4814
Practice Address - Country:US
Practice Address - Phone:781-647-4990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8938103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist