Healthcare Provider Details

I. General information

NPI: 1629011515
Provider Name (Legal Business Name): JAMES E SAVAGE JR. PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7852 16TH ST NW
WASHINGTON DC
20012-1204
US

IV. Provider business mailing address

7852 16TH ST NW
WASHINGTON DC
20012-1204
US

V. Phone/Fax

Practice location:
  • Phone: 202-291-5008
  • Fax: 202-291-2080
Mailing address:
  • Phone: 202-291-5008
  • Fax: 202-291-2080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY571
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY02982
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: