Provider Demographics
NPI:1346301348
Name:SANDERS, KAREN M (PHD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:SANDERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20251ST AVE
Mailing Address - Street 2:SUITE 720
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-3106
Mailing Address - Country:US
Mailing Address - Phone:206-269-0290
Mailing Address - Fax:206-269-0292
Practice Address - Street 1:2025 1ST AVE
Practice Address - Street 2:SUITE 720
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-3106
Practice Address - Country:US
Practice Address - Phone:206-269-0290
Practice Address - Fax:206-269-0292
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1663103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical