Healthcare Provider Details

I. General information

NPI: 1184132789
Provider Name (Legal Business Name): LAUREN MICHELLE SAETRE ED.S., NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN MICHELLE SAETRE ED.S., NCSP

II. Dates (important events)

Enumeration Date: 01/17/2018
Last Update Date: 01/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 E MERLE LN
WHEELING IL
60090-4749
US

IV. Provider business mailing address

999 W DUNDEE RD
WHEELING IL
60090-3986
US

V. Phone/Fax

Practice location:
  • Phone: 847-520-2385
  • Fax:
Mailing address:
  • Phone: 847-537-8270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: