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Lauren Derienzo, PSYD
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1134442494

Lauren Derienzo is a Student in an Organized Health Care Education/Training Program based in Brockton, MA. Lauren Derienzo practices in Brockton, MA and has the professional credentials of PSYD. The NPI Number for Lauren Derienzo is 1134442494 and holds a License No. (Massachusetts).

The current practice location address for Lauren Derienzo is 940 Belmont St, Brockton, MA and can be reached out via phone at 508-894-8325 and via fax at 508-894-8340.

Location: 940 Belmont St, Brockton, MA, 02301-5596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134442494
Provider Name
Lauren Derienzo
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
940 Belmont St, Brockton, MA, 02301-5596
Phone Number
508-894-8325
Fax Number
508-894-8340
Provider Enumeration Date
03/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
940 Belmont St
City
Brockton
State
Massachusetts
Zip
02301-5596
Phone Number
508-894-8325
Fax Number
508-894-8340
person
Provider Business Mailing Address Details
Address
940 Belmont St
City
Brockton
State
Massachusetts
Zip
02301-5596
Phone Number
508-894-8325
Fax Number
508-894-8340
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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