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NPI Code Detail

MEDICARE: MRS. SARAH LERCH ED.S

MEDICARE:  MRS. SARAH  LERCH  ED.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist10167348IN

General Provider Information

NPI Number : 1013762194
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH LERCH ED.S
Provider Business Mailing Address
First Line : 2266 LAKE ST
Second Line :
City : PORTAGE
State : IN
Zip : 46368-2464
Country : US
Telephone Number : 219-718-5700
Fax Number :
Provider Business Practice Location Address
First Line : 751 E PORTER AVE STE 1
Second Line :
City : CHESTERTON
State : IN
Zip : 46304-9111
Country : US
Telephone Number : 219-786-1582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2024
Last Update Date : 04/22/2024

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Directions to “ MRS. SARAH LERCH ED.S” Practice Location

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