Provider Demographics
NPI:1346445053
Name:SAVAGE-WEEKS, EDIE D (MA)
Entity Type:Individual
Prefix:MS
First Name:EDIE
Middle Name:D
Last Name:SAVAGE-WEEKS
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:PO BOX 3026
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93278-3026
Mailing Address - Country:US
Mailing Address - Phone:559-731-6452
Mailing Address - Fax:
Practice Address - Street 1:1214 W MAIN ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5917
Practice Address - Country:US
Practice Address - Phone:559-731-6452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT17564106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty