| Doctor Name: | RICHARD SANDERSON |
| NPI Number: | 1184789521 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 308 |
| Business Practice Address: | 143 High St Belfast, ME - 049156548 |
| Business Phone Number: | 2073383865 |
| Business Fax Number: | |
| Mailing Address: | 67 Albert Blood Rd, LINCOLNVILLE |
| State: | ME |
| Postal Code: | 048495033 |
| Phone Number: | 2077633964 |
| Fax Number: | |
| NPI Enumeration Date: | 12/26/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 308 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |