Provider Demographics
NPI:1033757109
Name:SAUDER PSYCHOLOGY, INC
Entity Type:Organization
Organization Name:SAUDER PSYCHOLOGY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:SAUDER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-548-7825
Mailing Address - Street 1:9085 E. MINERAL CIR, SUITE 235
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:720-548-7825
Mailing Address - Fax:
Practice Address - Street 1:9085 E. MINERAL CIR, SUITE 235
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:720-548-7825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAUDER PSYCHOLOGY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty