Individual
DR. SARAH BENNETT LAU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6978 OAK FOREST DR, OLIVE BRANCH, MS 38654-1332
(662) 895-1707
(662) 893-0388
Mailing address
PO BOX 579, OLIVE BRANCH, MS 38654-0579
(662) 895-1707
(662) 893-0388
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33520
MS
103TC0700X
Clinical Psychologist
93-32P
AR
103TC0700X
Clinical Psychologist
P00001796
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113613
—
MS
Enumeration date
11/02/2005
Last updated
07/08/2007
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