Provider Demographics
NPI:1669778767
Name:LUNDEEN, SARAH R (T-LMLP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:R
Last Name:LUNDEEN
Suffix:
Gender:F
Credentials:T-LMLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:RACHEL
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:2000 SW GAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-3340
Mailing Address - Country:US
Mailing Address - Phone:785-272-0778
Mailing Address - Fax:785-272-2056
Practice Address - Street 1:2000 SW GAGE BLVD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3340
Practice Address - Country:US
Practice Address - Phone:785-272-0778
Practice Address - Fax:785-272-2056
Is Sole Proprietor?:No
Enumeration Date:2011-02-07
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-LMLP 2570101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health