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NPI Code Detail

MEDICARE: AMY C. SANDERS PSYD

MEDICARE: AMY C. 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
1103TC2200XClinical Child & Adolescent PsychologistP.08354OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952739294
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY C. SANDERS PSYD
Provider Business Mailing Address
First Line : PO BOX 933421
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0039
Country : US
Telephone Number : 937-641-5072
Fax Number : 937-641-6129
Provider Business Practice Location Address
First Line : 1010 VALLEY ST
Second Line :
City : DAYTON
State : OH
Zip : 45404-2070
Country : US
Telephone Number : 937-641-3401
Fax Number : 937-641-3046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2013
Last Update Date : 04/07/2026

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