Provider Demographics
NPI:1538479977
Name:SAVINO, GINA (LMFT)
Entity Type:Individual
Prefix:MISS
First Name:GINA
Middle Name:
Last Name:SAVINO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 E PALMETTO PARK RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5103
Mailing Address - Country:US
Mailing Address - Phone:561-361-8427
Mailing Address - Fax:561-447-9614
Practice Address - Street 1:717 E PALMETTO PARK RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5103
Practice Address - Country:US
Practice Address - Phone:561-361-8427
Practice Address - Fax:561-447-9614
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL#2206106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist