MEDICARE: BRIAN SAVAGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		PA

General Provider Information

NPI Number	:	1841122660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN SAVAGE

Provider Business Mailing Address
First Line	:	2402 S 21ST ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-4101
Country	:	US
Telephone Number	:	267-650-7607
Fax Number	:

Provider Business Practice Location Address
First Line	:	2938 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-2801
Country	:	US
Telephone Number	:	267-909-8550
Fax Number	:	267-909-8552

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ BRIAN SAVAGE ” Practice Location

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