Provider Demographics
NPI:1003664269
Name:MCAULAY, LAUREN (APCC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:MCAULAY
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1499 HUNTINGTON DR STE 328
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-5478
Mailing Address - Country:US
Mailing Address - Phone:323-345-1402
Mailing Address - Fax:
Practice Address - Street 1:1499 HUNTINGTON DR STE 328
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-5478
Practice Address - Country:US
Practice Address - Phone:323-345-1402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional