Provider Demographics
NPI:1568904134
Name:SONGER, SAVANAH RAE (CPM LM)
Entity Type:Individual
Prefix:
First Name:SAVANAH
Middle Name:RAE
Last Name:SONGER
Suffix:
Gender:F
Credentials:CPM LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4240 OLD CAVE SPRING RD
Mailing Address - Street 2:
Mailing Address - City:CAVE SPRING
Mailing Address - State:VA
Mailing Address - Zip Code:24018-3417
Mailing Address - Country:US
Mailing Address - Phone:540-339-2841
Mailing Address - Fax:540-301-1768
Practice Address - Street 1:4240 OLD CAVE SPRING RD
Practice Address - Street 2:
Practice Address - City:CAVE SPRING
Practice Address - State:VA
Practice Address - Zip Code:24018-3417
Practice Address - Country:US
Practice Address - Phone:540-339-2841
Practice Address - Fax:540-301-1768
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-13
Last Update Date:2016-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0129000121176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife