Provider Demographics
NPI:1518169838
Name:SAUL, PATRICIA L (MSW PHD LCSW)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:L
Last Name:SAUL
Suffix:
Gender:F
Credentials:MSW PHD LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 W ALLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07401-1734
Mailing Address - Country:US
Mailing Address - Phone:201-825-3672
Mailing Address - Fax:201-825-3672
Practice Address - Street 1:115 W ALLENDALE AVE
Practice Address - Street 2:
Practice Address - City:ALLENDALE
Practice Address - State:NJ
Practice Address - Zip Code:07401-1734
Practice Address - Country:US
Practice Address - Phone:201-825-3672
Practice Address - Fax:201-825-3672
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC012753001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical