Healthcare Provider Details

I. General information

NPI: 1528133766
Provider Name (Legal Business Name): ANITA L SAUNDERS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 08/14/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 SUNNYSIDE RD
INDIANAPOLIS IN
46236-9707
US

IV. Provider business mailing address

6501 SUNNYSIDE RD
INDIANAPOLIS IN
46236-9707
US

V. Phone/Fax

Practice location:
  • Phone: 317-423-8431
  • Fax:
Mailing address:
  • Phone: 317-423-8431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number10115267
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: