Provider Demographics
NPI:1346733433
Name:SAUNDERS, KATHLEEN DUERR
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:DUERR
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 W LYNN SHORES CIR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-2610
Mailing Address - Country:US
Mailing Address - Phone:757-532-9372
Mailing Address - Fax:
Practice Address - Street 1:1605 SPARROW RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23325-4027
Practice Address - Country:US
Practice Address - Phone:757-578-7050
Practice Address - Fax:757-578-7054
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2203000350235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist