Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC1900X | Counseling Psychologist | 20043283A | IN |
N | 103TC1900X | Counseling Psychologist | 2063 | AL |
Y | 103TH0100X | Health Service | 20043283B | IN |
NPI | 1073908539 |
---|---|
Provider Name | Dr. Lauren Cunningham |
First Address | Muncie, IN 47304-2265 |
Second Address | Muncie, IN 47304-2265 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2015 |
Last Update Date | 06/01/2021 |