Provider Demographics
NPI:1083651459
Name:SATURN, EILEEN T (LISW)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:T
Last Name:SATURN
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:MS
Other - First Name:EILEEN
Other - Middle Name:T
Other - Last Name:SATURN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LISW
Mailing Address - Street 1:5115 GOLONDRINA NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-2037
Mailing Address - Country:US
Mailing Address - Phone:505-897-4102
Mailing Address - Fax:
Practice Address - Street 1:1010 LAS LOMAS RD NE
Practice Address - Street 2:SUITE 4
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2634
Practice Address - Country:US
Practice Address - Phone:505-272-0061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI30541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical