Provider Demographics
NPI:1144984436
Name:SANDERS, ARVIN DARIUS (PHD)
Entity type:Individual
Prefix:DR
First Name:ARVIN
Middle Name:DARIUS
Last Name:SANDERS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 16TH ST APT 506
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3248
Mailing Address - Country:US
Mailing Address - Phone:240-665-8066
Mailing Address - Fax:
Practice Address - Street 1:1001 CONNECTICUT AVE NW STE 1235
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5576
Practice Address - Country:US
Practice Address - Phone:202-529-3117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-24
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSYA00202103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist