Lauren Manuel
Individual provider Active NPI School Psychologist · Rensselaer, IN
NPI 1366248296 · NPPES record last updated Feb 21, 2025
Key facts
- NPI
- 1366248296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 10320510 (IN)
- Practice address
- 1389 Saint Gaspar Dr W
Rensselaer, IN 47978-7361 - Phone
- (219) 866-8540
- NPI assigned
- Feb 21, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10320510 | IN | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 10320510 | IN | Yes |
Addresses
Primary practice location
1389 Saint Gaspar Dr W
Rensselaer, IN 47978-7361
Mailing address
1389 Saint Gaspar Dr W
Rensselaer, IN 47978-7361
Phone (219) 866-8540
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All providers in Rensselaer, IN · School Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.