Provider Demographics
NPI:1366537649
Name:SAUNDERS, PATRICIA S (PHD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:S
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 EAST 55THSTREET
Mailing Address - Street 2:APT 1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5104
Mailing Address - Country:US
Mailing Address - Phone:212-759-6572
Mailing Address - Fax:212-759-6572
Practice Address - Street 1:412 EAST 55TH STREET
Practice Address - Street 2:APT 1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5104
Practice Address - Country:US
Practice Address - Phone:212-759-6572
Practice Address - Fax:212-759-6572
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003912-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY003912OtherLICENSE