Provider Demographics
NPI:1124343579
Name:SAUNDERS, MARI PITTMAN (BS MS MA DOCTORATE)
Entity type:Individual
Prefix:DR
First Name:MARI
Middle Name:PITTMAN
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:BS MS MA DOCTORATE
Other - Prefix:
Other - First Name:MARION
Other - Middle Name:PITTMAN
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1223
Mailing Address - Street 2:RIVERDALE
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471
Mailing Address - Country:US
Mailing Address - Phone:212-368-0902
Mailing Address - Fax:718-884-2208
Practice Address - Street 1:619 W 140TH ST
Practice Address - Street 2:STUIE 5E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031
Practice Address - Country:US
Practice Address - Phone:212-368-0902
Practice Address - Fax:718-884-2208
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000530106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP3602677OtherOXFORD