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NPI Code Detail

MEDICARE: DEANNA MARIE SANDERS PSYD

MEDICARE: DEANNA MARIE SANDERS PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist06345MD

General Provider Information

NPI Number : 1831722651
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA MARIE SANDERS PSYD
Provider Business Mailing Address
First Line : 1136 WICKFORD CT
Second Line :
City : CROFTON
State : MD
Zip : 21114-3203
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2431 SOLOMONS ISLAND RD
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3730
Country : US
Telephone Number : 410-757-2077
Fax Number : 410-573-1970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2020
Last Update Date : 02/20/2020

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Directions to “ DEANNA MARIE SANDERS PSYD” Practice Location

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