Provider Demographics
NPI:1578666525
Name:SAVAGE, RONALD CHARLES (EDD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:CHARLES
Last Name:SAVAGE
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 W EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-2716
Mailing Address - Country:US
Mailing Address - Phone:856-428-7037
Mailing Address - Fax:856-428-4577
Practice Address - Street 1:480 W EUCLID AVE
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-2716
Practice Address - Country:US
Practice Address - Phone:856-428-7037
Practice Address - Fax:856-428-4577
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor