Provider Demographics
NPI:1831388461
Name:SAELEE, THAEN CHIAM (PSYD)
Entity type:Individual
Prefix:DR
First Name:THAEN
Middle Name:CHIAM
Last Name:SAELEE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1414 NW VALLEY VIEW DR # 1007
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-1760
Mailing Address - Country:US
Mailing Address - Phone:541-524-4100
Mailing Address - Fax:541-524-4200
Practice Address - Street 1:3806 TILLICUM LN
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-2271
Practice Address - Country:US
Practice Address - Phone:541-900-8244
Practice Address - Fax:541-524-4200
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2022-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR3256103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical