Provider Demographics
NPI:1619294618
Name:LANCASTER, LAUREL L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LAUREL
Middle Name:L
Last Name:LANCASTER
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 CROTON LAKE RD UNIT 45
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-1320
Mailing Address - Country:US
Mailing Address - Phone:914-232-6700
Mailing Address - Fax:
Practice Address - Street 1:21 CROTON LAKE RD UNIT 45
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-1320
Practice Address - Country:US
Practice Address - Phone:914-232-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3046101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)