Healthcare Provider Details

I. General information

NPI: 1336192558
Provider Name (Legal Business Name): JOHNN B SAYLOR LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7451 W MERCADA WAY
DELRAY BEACH FL
33446-3794
US

IV. Provider business mailing address

7451 W MERCADA WAY
DELRAY BEACH FL
33446-3794
US

V. Phone/Fax

Practice location:
  • Phone: 561-499-3601
  • Fax:
Mailing address:
  • Phone: 561-499-3601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW3706
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: