Healthcare Provider Details

I. General information

NPI: 1275507394
Provider Name (Legal Business Name): DARLENE G. SAUNDERS M.S., CCC-A, FAAA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 04/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2149 ELECTRIC RD SUITE 8
ROANOKE VA
24018-1974
US

IV. Provider business mailing address

2149 ELECTRIC RD SUITE 8
ROANOKE VA
24018-1975
US

V. Phone/Fax

Practice location:
  • Phone: 540-774-5060
  • Fax: 540-774-8008
Mailing address:
  • Phone: 540-774-5060
  • Fax: 540-774-8008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number2201001085
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: