Organization
SARAH KELDER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH LOWE KELDER PSY.D. (OWNER)
(630) 701-4903
Entity
Organization
Contact information
Practice address
2603 S WASHINGTON ST STE 170, NAPERVILLE, IL 60565-6377
(331) 472-7132
Mailing address
5 REVERE CT, BOLINGBROOK, IL 60440-1221
(630) 701-4903
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12391930
CAQH
IL
Enumeration date
05/20/2020
Last updated
08/28/2020
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