Provider Demographics
NPI:1083937247
Name:SAUNDERS, FRANK AUSTIN (PHD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:AUSTIN
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 1:1431 MARLIN AVE
Mailing Address - Street 2:
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-1448
Mailing Address - Country:US
Mailing Address - Phone:650-341-6999
Mailing Address - Fax:
Practice Address - Street 1:1431 MARLIN AVE
Practice Address - Street 2:
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-1448
Practice Address - Country:US
Practice Address - Phone:650-341-6999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12427103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY124270Medicaid
0PL124270Medicare PIN