Provider Demographics
NPI:1194705798
Name:SAUNDERS, WILLIAM STEVEN (PSY D)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STEVEN
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 490134
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34749-0134
Mailing Address - Country:US
Mailing Address - Phone:352-406-0506
Mailing Address - Fax:352-365-2285
Practice Address - Street 1:1114 W DIXIE AVE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-6312
Practice Address - Country:US
Practice Address - Phone:352-406-0506
Practice Address - Fax:352-629-2122
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6174103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54809Medicare ID - Type UnspecifiedPROVIDER NUMBER