Provider Demographics
NPI:1952180366
Name:SANDERS, COURTNEY ELISE (PHD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:ELISE
Last Name:SANDERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8668 JOHN HICKMAN PKWY
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8178
Mailing Address - Country:US
Mailing Address - Phone:972-544-9360
Mailing Address - Fax:
Practice Address - Street 1:8668 JOHN HICKMAN PKWY STE 601
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9385
Practice Address - Country:US
Practice Address - Phone:972-299-0127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39110103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical