Healthcare Provider Details

I. General information

NPI: 1144154543
Provider Name (Legal Business Name): MARY CATHARINE SAUNDERS M.A., LP MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5711 W GENESEE ST
CAMILLUS NY
13031-1274
US

IV. Provider business mailing address

5711 W GENESEE ST
CAMILLUS NY
13031-1274
US

V. Phone/Fax

Practice location:
  • Phone: 315-217-1484
  • Fax:
Mailing address:
  • Phone: 315-217-1484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberP143096
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: