Provider Demographics
NPI:1851286678
Name:SANDERS, RAVEN LAJOY
Entity type:Individual
Prefix:
First Name:RAVEN
Middle Name:LAJOY
Last Name:SANDERS
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 1:8 PLEASANT CV
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-1825
Mailing Address - Country:US
Mailing Address - Phone:501-690-0623
Mailing Address - Fax:
Practice Address - Street 1:3417 MARKET PLACE AVE STE 400
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-8077
Practice Address - Country:US
Practice Address - Phone:501-943-1681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist