Provider Demographics
NPI:1851545867
Name:BECKER, LAUREN ALICIA (BA)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ALICIA
Last Name:BECKER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 ESSEX ST
Mailing Address - Street 2:APT. 101
Mailing Address - City:SOUTH HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982-2328
Mailing Address - Country:US
Mailing Address - Phone:978-468-1530
Mailing Address - Fax:
Practice Address - Street 1:140 ESSEX ST
Practice Address - Street 2:APT. 101
Practice Address - City:SOUTH HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982-2328
Practice Address - Country:US
Practice Address - Phone:978-468-1530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health