Healthcare Provider Details

I. General information

NPI: 1972999332
Provider Name (Legal Business Name): AMBER SAUNDERS PARDEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER SAUNDERS M.D.

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 RUE DE LA VIE ST STE 411
BATON ROUGE LA
70817-5128
US

IV. Provider business mailing address

500 RUE DE LA VIE ST STE 411
BATON ROUGE LA
70817-5128
US

V. Phone/Fax

Practice location:
  • Phone: 225-215-7498
  • Fax: 225-922-3788
Mailing address:
  • Phone: 225-215-7498
  • Fax: 225-922-3788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number323960
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: