Provider Demographics
NPI:1073047197
Name:SAUNDERS, WARREN D (PSYD)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:D
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 1:583 SKIPPACK PIKE STE 410
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-2146
Mailing Address - Country:US
Mailing Address - Phone:610-615-0513
Mailing Address - Fax:610-298-9168
Practice Address - Street 1:583 SKIPPACK PIKE STE 410
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-2146
Practice Address - Country:US
Practice Address - Phone:610-615-0513
Practice Address - Fax:610-298-9168
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-14
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018257103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist