| Doctor Name: | SARAH A WIEMEYER |
| NPI Number: | 1649436650 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MT-BC, NCC |
| License Number: | |
| Business Practice Address: | 9649 W 55th St Countryside, IL - 605253632 |
| Business Phone Number: | 7083523580 |
| Business Fax Number: | |
| Mailing Address: | 4316 Elm Ave, LYONS |
| State: | IL |
| Postal Code: | 605341508 |
| Phone Number: | 6304402324 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2008 |
| NPI Last Update Date: | 07/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |