Provider Demographics
NPI:1881191674
Name:STEINBECK, LAUREN KRISTEN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:KRISTEN
Last Name:STEINBECK
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 1:325 PENN RD UNIT 208
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-1449
Mailing Address - Country:US
Mailing Address - Phone:732-947-6395
Mailing Address - Fax:
Practice Address - Street 1:2716 SOUTH ST FL 5
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-2305
Practice Address - Country:US
Practice Address - Phone:267-426-9563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAPS019421103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program