Provider Demographics
NPI:1689071029
Name:SANDERS, JOY (A-MFT)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:SANDERS
Suffix:
Gender:F
Credentials:A-MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84059-0340
Mailing Address - Country:US
Mailing Address - Phone:801-227-2141
Mailing Address - Fax:801-223-7131
Practice Address - Street 1:1317 E 750 N
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-5480
Practice Address - Country:US
Practice Address - Phone:801-227-2141
Practice Address - Fax:801-223-7131
Is Sole Proprietor?:No
Enumeration Date:2014-12-01
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9139203-3904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist