Organization
SARA LACASSE, PH.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA LACASSE PH.D. (CLINICAL PSYCHOLOGIST)
(312) 724-9700
Entity
Organization
Contact information
Practice address
5100 N RAVENSWOOD AVE, CHICAGO, IL 60640-1710
(312) 724-9700
Mailing address
5100 N RAVENSWOOD AVE, CHICAGO, IL 60640-1710
(312) 724-9700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009189
IL
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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