Provider Demographics
NPI:1073631198
Name:SAUNDERS, WILLIAM D (PHD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 COMPTON ROAD
Mailing Address - Street 2:SUITE 27
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3850
Mailing Address - Country:US
Mailing Address - Phone:513-521-1061
Mailing Address - Fax:513-729-1022
Practice Address - Street 1:800 COMPTON ROAD
Practice Address - Street 2:SUITE 27
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3850
Practice Address - Country:US
Practice Address - Phone:513-521-1061
Practice Address - Fax:513-729-1022
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3971103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSACP32801Medicare PIN