Provider Demographics
NPI:1093992893
Name:SAYLOR, DEANNA RAE (MD, MHS)
Entity Type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:RAE
Last Name:SAYLOR
Suffix:
Gender:F
Credentials:MD, MHS
Other - Prefix:DR
Other - First Name:DEANNA
Other - Middle Name:RAE
Other - Last Name:CETTOMAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MHS
Mailing Address - Street 1:601 N CAROLINE ST
Mailing Address - Street 2:SUITE 5065
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0006
Mailing Address - Country:US
Mailing Address - Phone:410-502-0817
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:MEYER 6-109
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-955-6626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD798782084N0400X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology