Provider Demographics
NPI:1154398386
Name:SAUNDERS, ALAN LEWIS (PHD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LEWIS
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13000 BRUCE B.DOWNS BLVD
Mailing Address - Street 2:MENTAL HEALTH CLINIC
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-4749
Mailing Address - Country:US
Mailing Address - Phone:813-631-7123
Mailing Address - Fax:813-631-7128
Practice Address - Street 1:11707 CLUB DR
Practice Address - Street 2:MENTAL HEALTH CLINIC
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5521
Practice Address - Country:US
Practice Address - Phone:813-631-7123
Practice Address - Fax:813-631-7128
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0002569103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL673OtherPSYCHOLOGIST