Individual
EMILY LAUTZENHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, PSYS
Contact information
Practice address
423 W VINE ST, ROANOKE, IN 46783-9146
(260) 672-2806
Mailing address
423 W VINE ST, ROANOKE, IN 46783-9146
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10266803
IN
Other
Enumeration date
08/19/2021
Last updated
06/09/2025
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