DR. LAUREN KAVANAUGH-WALLACE PSYD
NPI 1649459397
Psychologist in Cornelius, NC

Active since October 30, 2007
18805 W CATAWBA AVE, STE 207, CORNELIUS, NC 28031(704) 787-4272(980) 321-7106 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lauren Kavanaugh-wallace Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAUREN KAVANAUGH-WALLACE PSYD (NPI 1649459397) is an individual psychologist in Cornelius, North Carolina, licensed in North Carolina (P-3786) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1649459397
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LAUREN KAVANAUGH-WALLACECredential: PSYD
Location Address18805 W CATAWBA AVE, STE 207Cornelius, NC 28031-4608
Mailing Address18805 W Catawba Ave Ste 207, Po Box 361Cornelius, NC 28031-4609 · (704) 787-4272 · Fax (980) 321-7106
Fax(980) 321-7106
Sole ProprietorYes
Enumeration DateOctober 30, 2007
Last NPPES UpdateJanuary 13, 2012
NPI 1649459397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in NC · P-3786 Licensed in MI · 630101257
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6301011257 (MI), 071005134 (IL)
18805 W CATAWBA AVE, Cornelius, NC 28031

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
18805 W CATAWBA AVE
CORNELIUS, NC 28031
Counselor (Professional)
18805 W CATAWBA AVE, SUITE 206
CORNELIUS, NC 28031
Counselor (Professional)
18805 W CATAWBA AVE
CORNELIUS, NC 28031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Kavanaugh-wallace's NPI number?

The NPI number for Lauren Kavanaugh-wallace is 1649459397. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Where is Lauren Kavanaugh-wallace located?

Lauren Kavanaugh-wallace practices at 18805 W Catawba Ave Ste 207, Cornelius, NC 28031. The listed phone number is (704) 787-4272.

What is Lauren Kavanaugh-wallace's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Lauren Kavanaugh-wallace was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.