Individual provider · Type 1 NPI

Lauren Kavanaugh-Wallace, PSYD

Psychologist · Cornelius, NC

NPI number 1649459397 Active

Practice location

18805 W Catawba Ave, Ste 207
Cornelius, NC 28031-4608

Fax (980) 321-7106

Mailing address

18805 W Catawba Ave Ste 207, PO Box 361
Cornelius, NC 28031-4609

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XP-3786 (NC)
Psychologist 103T00000X630101257 (MI)
Clinical Psychologist 103TC0700X6301011257 (MI)
Clinical Psychologist 103TC0700X071005134 (IL)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

3 other providers at this address

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About NPI 1649459397

Lauren Kavanaugh-Wallace, PSYD's National Provider Identifier is 1649459397, issued on Oct 30, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Cornelius, NC. The record was last updated on Jan 13, 2012.