Healthcare Provider Details

I. General information

NPI: 1194636381
Provider Name (Legal Business Name): SAVANNAH SPRING JOYAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 2ND AVE S STE 436
MINNEAPOLIS MN
55401-5507
US

IV. Provider business mailing address

331 2ND AVE S STE 436
MINNEAPOLIS MN
55401-5507
US

V. Phone/Fax

Practice location:
  • Phone: 612-284-5382
  • Fax: 612-284-5080
Mailing address:
  • Phone: 612-284-5382
  • Fax: 612-284-5080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: