Provider Demographics
NPI:1285898973
Name:SAUER, CAROLINE MARIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:MARIE
Last Name:SAUER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 W 87TH ST # 232
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-3901
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:510 S GRAND AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-4207
Practice Address - Country:US
Practice Address - Phone:626-914-1980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25200103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical