Provider Demographics
NPI:1275507394
Name:SAUNDERS, DARLENE G (MS, CCC-A, FAAA)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:G
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:MS, CCC-A, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2149 ELECTRIC RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-1975
Mailing Address - Country:US
Mailing Address - Phone:540-774-5060
Mailing Address - Fax:540-774-8008
Practice Address - Street 1:2149 ELECTRIC RD
Practice Address - Street 2:SUITE 8
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-1974
Practice Address - Country:US
Practice Address - Phone:540-774-5060
Practice Address - Fax:540-774-8008
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001085237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010205000Medicaid
VA7304339OtherAETNA
VA202106571OtherUNITED HEALTHCARE
VAP00395269OtherRR MEDICARE
VA181995OtherANTHEM
VA2722329OtherCIGNA
VA3105486OtherMAMSI
VA3105486OtherMAMSI
VA2722329OtherCIGNA