Healthcare Provider Details
I. General information
NPI: 1740251974
Provider Name (Legal Business Name): STEVEN SAVLOV PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 01/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10474 W THUNDERBIRD BLVD SUITE 200
SUN CITY AZ
85351-3015
US
IV. Provider business mailing address
10474 W THUNDERBIRD BLVD SUITE 200
SUN CITY AZ
85351-3015
US
V. Phone/Fax
- Phone: 623-972-3800
- Fax: 623-972-1089
- Phone: 623-972-3800
- Fax: 623-972-1089
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | 1567 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: