Provider Demographics
NPI:1699334235
Name:SAUNDERS, AMY L (CMS)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:CMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 PRIVATE DRIVE 339
Mailing Address - Street 2:
Mailing Address - City:SOUTH POINT
Mailing Address - State:OH
Mailing Address - Zip Code:45680-8919
Mailing Address - Country:US
Mailing Address - Phone:740-451-1455
Mailing Address - Fax:740-451-1456
Practice Address - Street 1:48 PRIVATE DRIVE 339
Practice Address - Street 2:
Practice Address - City:SOUTH POINT
Practice Address - State:OH
Practice Address - Zip Code:45680-8919
Practice Address - Country:US
Practice Address - Phone:740-451-1455
Practice Address - Fax:740-451-1456
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-07
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator