Provider Demographics
NPI:1790522480
Name:LAUCH, CHRISTIE BELLE (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIE
Middle Name:BELLE
Last Name:LAUCH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 N OAKMONT DR APT 201
Mailing Address - Street 2:
Mailing Address - City:GLENDALE HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60139-3636
Mailing Address - Country:US
Mailing Address - Phone:724-961-0244
Mailing Address - Fax:
Practice Address - Street 1:2021 MIDWEST RD STE 104
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1396
Practice Address - Country:US
Practice Address - Phone:630-280-8173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012091101YP2500X
PAPS020065103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional