Dr Liza Sanderson, is a
Counselor - Professional based in Kamas, Utah. Dr Liza Sanderson is licensed to practice in Wyoming (license number 435) and her current practice location is
228 W 200 S Ste 2e, Kamas, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 360-6955.
NPI number for Dr Liza Sanderson is 1447584511 and her current mailing address is 596 Ash Ct, Kamas, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447584511.
Healthcare Provider's Profile
| Full Name | Dr Liza Sanderson |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 228 W 200 S Ste 2e, Kamas, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1447584511
- Provider Enumeration Date: 09/22/2009
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Dr Liza Sanderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447584511 | NPI | - | NPPES |
| 128433900 | Medicaid | WY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 435 (Wyoming) | Secondary |
| 101YM0800X | Counselor - Mental Health | 435 (Wyoming) | Secondary |
| 101YP2500X | Counselor - Professional | 1149 (Wyoming) | Secondary |
| 101YS0200X | Counselor - School | 435 (Wyoming) | Secondary |
| 103TS0200X | Psychologist - School | 435 (Wyoming) | Secondary |
| 251B00000X | Case Management | 435 (Wyoming) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | 435 (Wyoming) | Secondary |
| 101YP2500X | Counselor - Professional | 435 (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Liza Sanderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Liza Sanderson,
596 Ash Ct,
Kamas, UT 84036-9275
Ph: (435) 640-3138 | Dr Liza Sanderson,
228 W 200 S Ste 2e,
Kamas, UT 84036-9010
Ph: (801) 360-6955 |
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