Provider Demographics
NPI:1184132789
Name:SAETRE, LAUREN MICHELLE (EDS, NCSP)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:MICHELLE
Last Name:SAETRE
Suffix:
Gender:F
Credentials:EDS, NCSP
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:MICHELLE
Other - Last Name:SAETRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDS, NCSP
Mailing Address - Street 1:999 W DUNDEE RD
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-3986
Mailing Address - Country:US
Mailing Address - Phone:847-537-8270
Mailing Address - Fax:
Practice Address - Street 1:515 E MERLE LN
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-4749
Practice Address - Country:US
Practice Address - Phone:847-520-2385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-17
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool