LAUREN SUSANNA CUNKELMAN MA, R-DMT, LPC, NCC - NPI 1699397091

Q: What is Lauren Cunkelman's NPI number?

The NPI number for Lauren Cunkelman is 1699397091. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Q: What is Lauren Cunkelman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Cunkelman was last updated on May 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lauren Susanna Cunkelman Ma, R-dmt, Lpc, Ncc NPPES

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

LAUREN SUSANNA CUNKELMAN MA, R-DMT, LPC, NCC (NPI 1699397091) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC012072) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1699397091

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLAUREN SUSANNA CUNKELMANCredential: MA, R-DMT, LPC, NCC

Location Address3905 FORD RD STE 6Philadelphia, PA 19131-2824

Mailing Address255 Lowrys Ln Apt 10Bryn Mawr, PA 19010-1316 · (724) 575-3465

Phone(215) 220-2192

Sole ProprietorNo

Enumeration DateMay 8, 2020

NPPES CertifiedMay 8, 2020

✔ NPI 1699397091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in PA · PC012072

3905 FORD RD STE 6, Philadelphia, PA 19131

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Other Providers at the Same Location NPPES 15

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

MS. HEATHER ALTERS LCSW

Social Worker (Clinical)