Provider Demographics
NPI:1497509970
Name:SAUL, CLAIRE YVONNE
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:YVONNE
Last Name:SAUL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 CORDOVA CT
Mailing Address - Street 2:
Mailing Address - City:GRANTS
Mailing Address - State:NM
Mailing Address - Zip Code:87020-2106
Mailing Address - Country:US
Mailing Address - Phone:505-489-1628
Mailing Address - Fax:
Practice Address - Street 1:753 E ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:GRANTS
Practice Address - State:NM
Practice Address - Zip Code:87020-2113
Practice Address - Country:US
Practice Address - Phone:505-489-1628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker