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NPI Code Detail

MEDICARE: DR. DANA THERESE SAVIDGE PSYD

MEDICARE: DR. DANA THERESE SAVIDGE PSYD
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
1103TC0700XClinical Psychologist3455CT
2103TC0700XClinical Psychologist022938NY

General Provider Information

NPI Number : 1851771505
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANA THERESE SAVIDGE PSYD
Provider Business Mailing Address
First Line : 275 BROADHOLLOW RD STE 120
Second Line :
City : MELVILLE
State : NY
Zip : 11747-4863
Country : US
Telephone Number : 845-279-5908
Fax Number : 845-622-5055
Provider Business Practice Location Address
First Line : 275 BROADHOLLOW RD STE 120
Second Line :
City : MELVILLE
State : NY
Zip : 11747-4863
Country : US
Telephone Number : 845-279-5908
Fax Number : 845-622-5055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2015
Last Update Date : 07/01/2025

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