Provider Demographics
NPI:1467983932
Name:SAUNDERS, MERRIAM (LMFT)
Entity Type:Individual
Prefix:
First Name:MERRIAM
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 CORTE PATENCIO
Mailing Address - Street 2:
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-1116
Mailing Address - Country:US
Mailing Address - Phone:415-306-4364
Mailing Address - Fax:
Practice Address - Street 1:1010 SIR FRANCIS DRAKE BLVD
Practice Address - Street 2:STE 101
Practice Address - City:KENTFIELD
Practice Address - State:CA
Practice Address - Zip Code:94904-1417
Practice Address - Country:US
Practice Address - Phone:415-306-4364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-25
Last Update Date:2017-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC51107106H00000X
HIMFT380106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist