Healthcare Provider Details
I. General information
NPI: 1346301348
Provider Name (Legal Business Name): KAREN M SANDERS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2025 1ST AVE SUITE 720
SEATTLE WA
98121-3106
US
IV. Provider business mailing address
20251ST AVE SUITE 720
SEATTLE WA
98121-3106
US
V. Phone/Fax
- Phone: 206-269-0290
- Fax: 206-269-0292
- Phone: 206-269-0290
- Fax: 206-269-0292
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | 1663 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 1663 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: