Healthcare Provider Details

I. General information

NPI: 1760393342
Provider Name (Legal Business Name): CHRISTIAN SANDERS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8601 SIX FORKS RD STE 400
RALEIGH NC
27615-2965
US

IV. Provider business mailing address

8601 SIX FORKS RD STE 400
RALEIGH NC
27615-2965
US

V. Phone/Fax

Practice location:
  • Phone: 646-941-7645
  • Fax: 929-596-7897
Mailing address:
  • Phone: 646-941-7654
  • Fax: 929-596-7897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7153
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: