Provider Demographics
NPI:1316453533
Name:SAUNDERS, DANE (PSYD)
Entity type:Individual
Prefix:DR
First Name:DANE
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 E MONTGOMERY AVE UNIT 12
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-3322
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:232 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:EAST LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-2516
Practice Address - Country:US
Practice Address - Phone:484-469-0781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-26
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018955103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist