Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lauren Kavanaugh-Wallace, PSYD

Individual provider Psychologist · NPI 1649459397

Dr. Lauren Kavanaugh-Wallace, PSYD is a Psychologist in Cornelius, North Carolina. Practices as a sole proprietor. Licensed in Illinois, Michigan and North Carolina.

Licensed in
IL, MI, NC
In the registry since
2007
Specialties on file
4
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

18805 W Catawba Ave Ste 207
Cornelius, NC 28031-4608
Phone: (704) 787-4272
Fax: (980) 321-7106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence P-3786 (NC)
Psychologist Taxonomy 103T00000X · Licence 630101257 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301011257 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071005134 (IL)

Record details

NPI number1649459397
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedOctober 30, 2007
Last updated in NPPESJanuary 13, 2012

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