Provider Demographics
NPI:1518210384
Name:SAVIGNANO, JENNA RANDO
Entity Type:Individual
Prefix:MS
First Name:JENNA
Middle Name:RANDO
Last Name:SAVIGNANO
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 1:46 NUTTING RD
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-3113
Mailing Address - Country:US
Mailing Address - Phone:617-557-2833
Mailing Address - Fax:
Practice Address - Street 1:46 NUTTING RD
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-3113
Practice Address - Country:US
Practice Address - Phone:617-557-2833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor