MEDICARE: JENNIFER UPHAM SAUNDERS LMFT

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
1	106H00000X	Marriage & Family Therapist	96306	CA

General Provider Information

NPI Number	:	1982146411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER UPHAM SAUNDERS LMFT

Provider Business Mailing Address
First Line	:	3940 LAUREL CANYON BLVD
Second Line	:	NO. 224
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-3709
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4755 WHITE OAK PL
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-3726
Country	:	US
Telephone Number	:	213-369-9988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2016
Last Update Date	:	04/09/2026

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