Provider Demographics
NPI:1417610197
Name:NAUGLE-BAKER, SAVANNAH L (LPC)
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:L
Last Name:NAUGLE-BAKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2667
Mailing Address - Country:US
Mailing Address - Phone:419-244-3053
Mailing Address - Fax:419-244-1100
Practice Address - Street 1:2460 CHERRY ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2667
Practice Address - Country:US
Practice Address - Phone:419-244-3053
Practice Address - Fax:419-244-1100
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2103759101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health