Active NPIIndividual providerSole proprietor

Lauren R Blakely, PHD

Psychologist, Clinical Child & Adolescent in Wellesley, Massachusetts

NPI Number1184247132
Practice location
96 Fairbanks Ave, Wellesley, MA 02481-5256
Fax
—
Last updated
May 26, 2020

Lauren R Blakely is a Psychologist, Clinical Child & Adolescent based in Wellesley, MA. Lauren R Blakely practices in Wellesley, MA and has the professional credentials of PHD. The NPI Number for Lauren R Blakely is 1184247132 and holds a License No. 7834 (MA). The current practice location address for Lauren R Blakely is 96 Fairbanks Ave, Wellesley, MA 02481-5256 and can be reached out via phone at 617-877-6294.

Provider Profile Details

NPI Number
1184247132
Provider Name
Lauren R Blakely
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
96 Fairbanks Ave, Wellesley, MA 02481-5256
Phone Number
617-877-6294
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
Yes
Provider Enumeration Date
May 26, 2020
Last Update Date
May 26, 2020
Certification Date
May 26, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
96 Fairbanks Ave
Wellesley, MA 02481-5256
Zip
02481-5256
Phone Number
617-877-6294
Wellesley, MA 02481Get directions →

Provider Business Mailing Address Details

Address
96 Fairbanks Ave
Wellesley, MA 02481-5256
City
Wellesley
State
MA
Zip
02481-5256

License Information

License Number
7834
License State
MA
Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Psychologist, Clinical Child & Adolescent providers near Wellesley, MA

View all Psychologist, Clinical Child & Adolescent providers in Wellesley →

Frequently Asked Questions

What is the NPI number of Lauren R Blakely, PHD?

The NPI number of Lauren R Blakely, PHD is 1184247132. It was assigned on May 26, 2020 and is currently active in the NPPES registry.

What is the specialty of Lauren R Blakely, PHD?

Lauren R Blakely, PHD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in MA under license number 7834.

Where does Lauren R Blakely, PHD practice?

The practice location is 96 Fairbanks Ave, Wellesley, MA 02481-5256. The office can be reached at 617-877-6294 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184247132 directly on the NPPES registry website.

Browse related providers