Provider Demographics
NPI:1548714280
Name:SAUNDERS, DEANNA MOSELLE (LCSW)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:MOSELLE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 FOREST ST
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-5631
Mailing Address - Country:US
Mailing Address - Phone:617-968-2900
Mailing Address - Fax:
Practice Address - Street 1:128 FOREST ST
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-5631
Practice Address - Country:US
Practice Address - Phone:617-968-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker