Provider Demographics
NPI:1275795890
Name:SAYLES, E MARIE (MA)
Entity Type:Individual
Prefix:
First Name:E MARIE
Middle Name:
Last Name:SAYLES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3034 OAK AVE
Mailing Address - Street 2:14
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-5148
Mailing Address - Country:US
Mailing Address - Phone:305-722-7207
Mailing Address - Fax:
Practice Address - Street 1:3034 OAK AVE
Practice Address - Street 2:14
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-5148
Practice Address - Country:US
Practice Address - Phone:305-722-7207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5242101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health