Provider Demographics
NPI:1962626101
Name:SAUNDERS, DIANE (CSW)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WOLFS DEN RD
Mailing Address - Street 2:
Mailing Address - City:EAST NASSAU
Mailing Address - State:NY
Mailing Address - Zip Code:12062-1909
Mailing Address - Country:US
Mailing Address - Phone:518-766-6550
Mailing Address - Fax:
Practice Address - Street 1:1 COLUMBIA PL
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12207-1006
Practice Address - Country:US
Practice Address - Phone:518-449-2897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR023459-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical