Provider Demographics
NPI:1972746949
Name:SANDERS, JUNETTE A
Entity Type:Individual
Prefix:MS
First Name:JUNETTE
Middle Name:A
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 1:6570 GERMANTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-1102
Mailing Address - Country:US
Mailing Address - Phone:937-353-5416
Mailing Address - Fax:937-208-4515
Practice Address - Street 1:6570 GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-1102
Practice Address - Country:US
Practice Address - Phone:937-353-5416
Practice Address - Fax:937-208-4515
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist