Provider Demographics
NPI:1972999332
Name:PARDEN, AMBER SAUNDERS (MD)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:SAUNDERS
Last Name:PARDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:500 RUE DE LA VIE ST STE 411
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-5128
Mailing Address - Country:US
Mailing Address - Phone:225-215-7498
Mailing Address - Fax:225-922-3788
Practice Address - Street 1:500 RUE DE LA VIE ST STE 411
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-5128
Practice Address - Country:US
Practice Address - Phone:225-215-7498
Practice Address - Fax:225-922-3788
Is Sole Proprietor?:No
Enumeration Date:2015-04-13
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
LA3239602084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program