| Organization Name: | RISA E. SANDERS, PH.D., PLLC |
| NPI Number: | 1013337815 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RISA E SANDERS (CLINICAL PSYCHOLOGIST/ OWNER) |
| Mailing Address: | 1313 Vincent Pl Mc Lean |
| State: | VA US |
| Postal Code: | 221013615 |
| Phone Number: | 7039191959 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2014 |
| NPI Last Update Date: | 04/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0810002666 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |