Provider Demographics
NPI:1881952216
Name:SAUNDERS, VICKY LYNN (BS PSY)
Entity type:Individual
Prefix:
First Name:VICKY
Middle Name:LYNN
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:BS PSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FERRYVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54628-8177
Mailing Address - Country:US
Mailing Address - Phone:608-386-3459
Mailing Address - Fax:
Practice Address - Street 1:1407 SAINT ANDREW ST STE 100
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54603-2378
Practice Address - Country:US
Practice Address - Phone:608-785-6138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator