Provider Demographics
NPI:1679228498
Name:DOBBS, LAUREN (PSYD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:DOBBS
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 1:49 OLD STAGE COACH RD
Mailing Address - Street 2:
Mailing Address - City:BYRAM TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07821-3316
Mailing Address - Country:US
Mailing Address - Phone:973-903-7856
Mailing Address - Fax:
Practice Address - Street 1:49 OLD STAGE COACH RD
Practice Address - Street 2:
Practice Address - City:BYRAM TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07821-3316
Practice Address - Country:US
Practice Address - Phone:973-903-7856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024792103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical