| Doctor Name: | MISS SARA RAUE |
| NPI Number: | 1134577943 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.S. |
| License Number: | 77280-0 |
| Business Practice Address: | 2305 13th Ave Belle Fourche, SD - 577172404 |
| Business Phone Number: | 6057233356 |
| Business Fax Number: | |
| Mailing Address: | 672 South St, WHITEWOOD |
| State: | SD |
| Postal Code: | 577936001 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2016 |
| NPI Last Update Date: | 06/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 77280-0 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |