DR. DENELLA LAZENBY AUSBORN PSY.D. NPI 1174676563

NPI Information

NPI: 1174676563
Provider Name: DR. DENELLA LAZENBY AUSBORN, PSY.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
4500 HUGH HOWELL RD
SUITE 740
TUCKER, GA
ZIP 30084
Phone: (770) 938-4616
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DR. Denella Lazenby Ausborn, PSY.D. is a clinical psychologist in Tucker, GA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Denella Lazenby Ausborn, PSY.D. NPI is 1174676563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4500 HUGH HOWELL RD
SUITE 740
TUCKER, GA
ZIP 30084-723
Phone: (770) 938-4616
Fax: (770) 938-4615

The enumeration date for this NPI number is 1/19/2007 and was last updated on 9/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	2469	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	744015	OTHER	GEORGIA	AETNA
2	2441599995-02	OTHER	GEORGIA	MAGELLAN
3	2678878	OTHER	GEORGIA	MAGELLAN
4	2441599995-02	OTHER	GEORGIA	UNITED BEHAVIORAL HEALTH
5	001346	OTHER	GEORGIA	BLUECROSS BLUESHIELD OF G
6	33-1078488	OTHER	GEORGIA	NORTHLAKE MEDICAL RESEARC
7	279069000	OTHER	GEORGIA	MAGELLAN
8	01000297	OTHER	GEORGIA	AMERIGROUP
9	744015	OTHER	GEORGIA	AETNA, LEXINGTON
10	6134630	OTHER	GEORGIA	UNITED BEHAVIORAL HEALTH
11	7066282	OTHER	GEORGIA	AETNA, EL PASO
12	68BBGBN	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
13	00891151A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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