MEDICARE: DR. SARAH MOROSAN PSYD, LCP

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
1	103TC0700X	Clinical Psychologist	071.022096	IL

General Provider Information

NPI Number	:	1619862414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH MOROSAN PSYD, LCP

Provider Business Mailing Address
First Line	:	2570 N RIDGE AVE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-2457
Country	:	US
Telephone Number	:	312-342-3380
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 WASHINGTON BLVD STE 201
Second Line	:
City	:	MUNDELEIN
State	:	IL
Zip	:	60060-3104
Country	:	US
Telephone Number	:	312-342-3380
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2025
Last Update Date	:	06/11/2025

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