Individual
FELICITY L SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2411 ROBESON ST, SUITE 200, FAYETTEVILLE, NC 28305-5549
(910) 609-1990
(910) 609-1993
Mailing address
2411 ROBESON ST, SUITE 200, FAYETTEVILLE, NC 28305-5549
(910) 609-1990
(910) 609-1993
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3886
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015J8
BCBSNC GROUP
NC
01
—
141VC
BCBSNC INDIVIDUAL
NC
01
—
268021
COMPSYCH
NC
01
—
2826028
MEDICARE ID
NC
05
—
6001190
—
NC
Enumeration date
05/20/2006
Last updated
02/25/2010
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