Doctor Name: | MRS. JENNIFER SAVAGE |
NPI Number: | 1205266624 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2011039086 |
Business Practice Address: | 560 W Mount Vernon St Nixa, MO - 657149681 |
Business Phone Number: | 4175217079 |
Business Fax Number: | |
Mailing Address: | 711 S Meteor Ave, SPRINGFIELD |
State: | MO |
Postal Code: | 658024559 |
Phone Number: | 4175217079 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2013 |
NPI Last Update Date: | 11/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2011039086 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |