Provider Demographics
NPI:1639503527
Name:YOUNG, LAUREN CATHERINE (PMHNP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:CATHERINE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 ANNABEL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-4418
Mailing Address - Country:US
Mailing Address - Phone:856-217-0799
Mailing Address - Fax:
Practice Address - Street 1:128 ANNABEL RD
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-4418
Practice Address - Country:US
Practice Address - Phone:856-217-0799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP027262363LP0808X
NJ26NR16297600163W00000X
NJ26NJ00469800363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse