Organization
DIVERSE LEGACY INCORPORATED
Active
Other names
Sanders and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY D SANDERS PHD (PRESIDENT)
(708) 223-8405
Entity
Organization
Contact information
Practice address
1717 N NAPER BLVD, SUITE 200, NAPERVILLE, IL 60563-8802
(708) 223-8405
Mailing address
1717 N NAPER BLVD, SUITE 200, NAPERVILLE, IL 60563-8802
(708) 223-8405
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071-007847
IL
Other
Enumeration date
12/16/2010
Last updated
04/23/2012
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