Provider Demographics
NPI:1588002083
Name:SAUNDERS, JENNY RENEE
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:RENEE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:RENEE
Other - Last Name:MCDANIELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1102 HOLIDAY DR APT 9D
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-1261
Mailing Address - Country:US
Mailing Address - Phone:580-340-9529
Mailing Address - Fax:
Practice Address - Street 1:1102 HOLIDAY DR APT 9D
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-1261
Practice Address - Country:US
Practice Address - Phone:580-340-9529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor