Provider Demographics
NPI:1306102744
Name:PARKER, LAUREN CHRISTENSEN (PHD)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:CHRISTENSEN
Last Name:PARKER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:ELIZABETH
Other - Last Name:CHRISTENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1215 N COURTHOUSE RD
Mailing Address - Street 2:APT#100
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-2420
Mailing Address - Country:US
Mailing Address - Phone:419-410-0776
Mailing Address - Fax:
Practice Address - Street 1:1215 N COURTHOUSE RD
Practice Address - Street 2:APT#100
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-2420
Practice Address - Country:US
Practice Address - Phone:419-410-0776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist