Individual provider · Type 1 NPI

Lauren Bonavitacola

Clinical Psychologist · Flourtown, PA

NPI number 1548653587 Active

Practice location

1407 Bethlehem Pike Ste 201
Flourtown, PA 19031-1946

Mailing address

6711 Germantown Ave Unit 25281
Philadelphia, PA 19119-2187

Specialties and licenses

TaxonomyCodeLicense
Cognitive & Behavioral Psychologist 103TB0200X021710 (NY)
Clinical Child & Adolescent Psychologist 103TC2200X021710 (NY)
Clinical Psychologist Primary 103TC0700X021710 (NY)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1548653587

Lauren Bonavitacola's National Provider Identifier is 1548653587, issued on Mar 16, 2015. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Flourtown, PA. The record was last updated on Sep 13, 2026.