Laura Elizabeth Rahm

Individual provider Active NPI School Psychologist · Carlyle, IL

NPI 1750845541 · NPPES record last updated Jan 25, 2019

Key facts

NPI
1750845541
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
Practice address
610 Livingston St
Carlyle, IL 62231-1531
Phone
(618) 975-5390
NPI assigned
Jan 25, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X Yes

Addresses

Primary practice location

610 Livingston St
Carlyle, IL 62231-1531

Mailing address

610 Livingston St
Carlyle, IL 62231-1531

Other providers in Carlyle, IL

All providers in Carlyle, IL · School Psychologist in Illinois

Sources for this page

Verify at the official NPI Registry.