Provider Demographics
NPI:1477727618
Name:SAUNDERS, MARK PHILIP (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:PHILIP
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 1:4481 RUSH CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:CA
Mailing Address - Zip Code:96052-9629
Mailing Address - Country:US
Mailing Address - Phone:530-778-3535
Mailing Address - Fax:530-778-9927
Practice Address - Street 1:1933 MARKET ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1929
Practice Address - Country:US
Practice Address - Phone:530-241-9276
Practice Address - Fax:530-241-0114
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY13532103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical