Dale Lawrence Sanders

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1147 Issued in SC

Practice address

4 Creekstone CT
Greenville, SC 29609-4845

Phone

(267) 241-8085

NPI assigned

Jun 14, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dale Lawrence Sanders Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1346690062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CREEKSTONE CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094845",
            "telephone_number": "267-241-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CREEKSTONE CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094845",
            "telephone_number": "267-241-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "DALE",
        "middle_name": "LAWRENCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALE",
            "last_name": "SANDERS",
            "middle_name": "LAWRENCE",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kurtis M Sandberg, PHARMD
• Lindsey Marie Sander
• Annette Sanders
• Charles Ray Sanders III, PHARMACIST
• Chrishonda Sinclair Sanders
• John Leonard Sanders, MD
• John Ragan Sanders, MD
• Kathryn Sanders
• Kejuana Sanders
• Randal Jared Sanders, M.D.

• Clinical Psychologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.